majorsave quotation

Private & Public
Hire Taxi
Quotations

TaxiElite Quotation
( Saving Pounds )

FROM:

Your name

Your contact telephone / mobile

( Mobile if Possible Please )

Your E-Mail address


Proposer Details - We regret we cannot quote for Northern Ireland
Your First Name
Your Last Name
1'st line Home address
2'nd line Home address
Town / City
UK County
Full Post Code
Licensing Authority
Years lived in UK
Homeowner Yes/No
Married Yes/No
Date of Birth
Private or Public hire
Cover Required
Please give the Date cover required from.	( Start date needed for accurate quote )
Taxi Base post code. first part only needed	e.g. BB12

Vehicle Details
Vehicle Make, ie, Ford
Model, ie, Mondeo
Model, ie, GLX or SRi
Engine Size,cc
Petrol or Diesel
Vehicle Value
How many Seats including driver in total
Year of Manufacture
Number of years you have owned this vehicle
Modified - Yes/No?	Yes or No

Details of All Drivers - All Drivers Must be Aged 25 or over ( MAX 2 DRIVERS )

list all drivers inclusive of yourself

Name
Date
Of
Birth

Yrs UK driving licence

Yrs Taxi Licence

Occupation if not Taxi driver
Annual
Mileage

1 policyholder

2

4 Any Disabilities ?

Has any driver, had any Convictions ?: in the last 5 years or ban in last 10 yrs

Yes or No If Yes, please give details below:


Name	conviction code Example (SP30)	conviction date	penalty points	date ban expired	fine imposed
1
2
3
4
5

Has any driver had any Accidents?: in the last 5 yrs

Yes or No If Yes, please give details below:


Name	Date of accident	Fully Settled Yet?	Total costs you claimed	Total costs claimed against you	Fault or None Fault
1
2
3
4
5

How many years No Claims Bonus
can you provide.

Was your bonus earned on
a taxi private/public hire policy
or private car policy

ALL QUOTES PRODUCED ARE INDICATIVE ONLY

PLEASE KEEP A COPY OF THIS DOCUMENT SAFE FOR REFERENCE

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