Seico Insurance Consultants

Thank you for using the fleet insurance quotation form. After submitting this form, you will be contacted by us with the most competitive for your policy within the next 24 hours. Different companies have different terms and conditions so it is important to check the quotes you recieve.

About Your Business: Company Name:
Trading name (if applicable):
Postal Address:
Post Code:
Risk Address (if different):
Risk Post Code:
Contact Name and Number:
E-mail Address:
Business Description (exact work being undertaken) if applicable:
How long has business been established?
Types of Goods Carried
Number of Vehicles
Types of Vehicles and number: a) Cars b) Commercial Vehicles c) HGV's d) Special Types/Others e) Trailers
Please use this space to supply any other information/comments including serious convictions or physical conditions of any particular driver

Preferred Method of Payment:	Cheque Credit Card Direct Debt

We will also require the schedule of vehicles currently owned and your confirmed claims history for last three years. These documents can be faxed to our office on 01273 206565