Contact Details
Full name
Trading Name
Registered for VAT
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No
Yes
Type of premises
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Home
Workshop
Lockup
Forecourt
Showroom
Open Site
How many years established
Total number of drivers including yourself
Door number / Name
Trading Postcode
Preferred contact number
Second contact number
Email address
Years NCB on Motor Trade policy
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0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Over 15
Years NCB on private car policy
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0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Over 15
Existing Insurers
Best price so far
Who with?
Where did you hear of us?
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118.com
2nd Car
Access CV
Autotrader
BMW
Bike Animal
BikeTrader
Business Card
Business Magnet
Call Connection
Cheaper Cover
Dixons
DrinkDrive Educ
Drive On Mag
Fast ford
Fastcar
Forum
Free Index
GoCompare
Hotfrog Dir
I4 Insurance
Internet
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Max Power
Money Supermarket
Motor Trades
Other
Parkers
Recommendation
Redline
Scoot
Small Bus. Dir
Text Message
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Thomson
Total Vauxhall
X-RCIB
Yell.com
Yellow Pages
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