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About You

Company Name: *
Number of Years Trading:
Business/Trade: *
Company Address: *
Contact Name: *
Contact Telephone: *
Mobile Number:
Fax Number:
Email Address: *
How do you wish us to contact you:

About Your Fleet

Are your vehicles currently insured as a fleet:
Cover required from / Renewal Date (dd/mm/yy):
Current Insurer:
Current Premium: (£)
Best Quote Obtained: (£)
Number of Vehicles: *
Cover Required:
Driving Requirements:
How many of your drivers are 20 years of age and under:
How many of your drivers are between 21 & 24 years of age:
How many of your drivers are between 25 & 29 years of age:
Do you use agency, temporary or casual drivers:

Driver Management

For each new driver who will drive on your business, do you:

Have an application form completed:
Take a copy of their driving licence:
Obtain details of any previous motoring accidents or convictions:
Has anyone who will be driving the vehicles obtained any motoring convictions / endorsements on their licence. If so, please specify:

As well as Fleet Insurance, we also offer great quotes on...

Office Insurance

Get a great deal today on your Office Insurance. Cover starts immediately to save you money!

Professional Indemnity

Get a Professional Indemnity quote today. Simply fill out one short form to start saving money immediately!

D&O Insurance

We provide you with a suitable, comprehensive policy at a competitive price tailor made to your individual requirements.

Landlord Insurance

Insure your property with a Landlord Insurance quote! Just fill out one quick and simple form today.

Shop Insurance

Get a Shop Insurance quote today. Simply fill out one short form to start saving money immediately!

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W E Bedford Insurance Services (Wimbledon) Ltd, Trident Court, Oakcroft Road,
Chessington, KT9 1BD is authorised and regulated by the Financial Conduct Authority.
Our FCA Register number is 305737

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