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Kit Car Insurance Quotation

Please ensure that the information provided by you and this statement is answered correctly and/or that where exclusions to cover are detailed, that you understand and accept these exclusions. If you decide to buy a Kit Car Insurance Policy arranged by Frank Pickles, these details will form the basis of the insurance contract between us. Incorrect information could invalidate all or part of your policy, if you are UNSURE on any point please ask us. If your circumstances change between the date you purchase the policy and the date when you require the policy to commence, please call us. Incorrect information could invalidate all or part of your policy.

Please tick each box to agree with the statement.

If you CANNOT agree with the statement below please call us 01943 850999.

	This is a second car and I have use of another car for day to day travel. If not please call as we can insure kit cars that are used as main vehicles
	I am a permanent UK resident
	I am aged between 25 and 74
	I confirm that no drivers are under the age of 25
	I have held a Full UK driving licence for more than 12 months
	The total number of accidents/claims, fire/theft or losses for ALL drivers must not exceed 1 in the last 3 years and the total costs must NOT exceed £5,000. Non fault claims where your insurance company has made a full recovery of any money it has paid out may be disregarded but will still require disclosing when/if you proceed
	The DVLA has NOT imposed any licence restrictions due to disability
	The total for ALL drivers’ convictions and/or fixed penalties do NOT exceed 2 of the following categories CU, MS10-30, MW, PC, PL, SP and TS within the last 5 years
	None of the drivers who are named on the policy have been convicted of a drink or drugs related motoring offence in the last 11 years, if you have please call us
	None of the drivers who are named on the policy have any non-motoring criminal convictions or pending criminal charges
	My business or the business of my employer is NOT in any way connected with any of the following: Amusement Arcade Owner/Employee Artist Caravan Dweller Casino Employees Doorman/Bouncer/Night Security Entertainment Industry (Film/Television/Etc) Fairground/Circus Employee Horse Jockey/Trainer or the like Journalist Labourer Market Trader Models Musician Newspaper Journalists/Photographers Nightclub Owner/Dancer/Employee Offshore Gas/Oil Rig employee Professional Sports person Road Worker/Ashphalter Scaffolder Scrap/General (Dealers/Merchants) Unemployed Licensed Trade/Licensee/Publican/Employee
	I have read the above and confirm that I agree that all of the statements are correct and apply to me. Where a statement details exclusions to cover I confirm that these are acceptable to me and that I accept these limitations.