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About you

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Your driving history

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Your Car

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The Policy

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Declaration

All information you supply must be accurate as this can affect your quotation and invalidate any claims. You must agree to the following assumptions before you can submit your quotation request.
Regarding drivers this quotation assumes:
  1. That none of the drivers has had any criminal convictions,
  2. all drivers have been resident in the UK for the last 5 years,
  3. that none of the drivers has had insurance declined/cancelled or voided,
  4. the vehicle has not been modified or altered,
  5. the vehicle is registered in the UK and has not been deemed a total loss by any insurer,
  6. that all material facts have been disclosed.
 
Please tick the box to confirm your acceptance of the above.
 

Thank you

Your quote request has been received. We will be in touch soon.

Terms of Business Agreement

Copyright © 2011, MEM Insurance Brokers Ltd. All Rights Reserved.
MEM Insurance Ltd is also trading as Potteries Insurance Brokers and Speedy Insurance

MEM Insurance Brokers Ltd are authorised and regulated by the Financial Conduct Authority.
Registered Number 302160.

MEM Insurance Brokers Limited. Registered in England and Wales under Registration Number 1501613.
Registered Office: 517 King Street, Longton, Stoke-on-Trent. ST3 1HD.