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Guernsey

Jersey

Isle of Man

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Southampton

Breakdown Insurance Application

Use our insurance application form to let us know your circumstances
Fields marked with an asterisk (*) are required.

Before you begin

You will need the following to complete this application.
All personal data is stored securely in line with Cherry Godfrey's Privacy & Data Policy.

Your Personal Information
Your Personal Information

Why? Insurers regard details of the driver as a very important rating factor. Your date of birth is important as young drivers will attract a higher rating due to their inexperience and older drivers may attract a discount. Your postcode may alter the premium being charged and most importantly, your accident and conviction history will affect the acceptability of the risk as well as the premoium being charged.

Your Vehicle Details
Your Vehicle Details

Why? Various factors are taken into account by underwriters to determine acceptability of the risk and the premium to be charged. The age of the vehicle is extremely important as this will determine the premium to be charged.

Please accept the terms and conditions before continuing

What is your title?

How would you prefer to be contacted?

? You must be over 18 to be eligible.

What is your marital status?

What is your address?

What is your residence status?

Vehicle Type

Abarth
Alfa Romeo
Aston Martin
Audi
Bentley
BMW
Chevrolet
Chrysler
Citroen
Dacia
Daimler
Dodge
Fiat
Ford
Honda
Hyundai
Isuzu
Jaguar
Jeep
Kia
Land Rover
Lexus
Lotus
Mercedes-Benz
Mazda
MG
Mini
Mitsubushi
Morgan
Nissan
Peugeot
Perodua
Pontiac
Porsche
Rolls-Royce
Rover
Renault
Saab
Seat
Skoda
Smart
SSangYong
Subaru
Suzuki
Toyota
Triumph
Vauxhall
Volkswagen
Volvo
Other
Aprila
Benelli
Bullit
BMW
Derbi
Ducatti
Fantic
Harley-Davidson
Honda
Husqvarna
Kawasaki
Keeway
KTM
Mash
MGB
Mondial
Moto Guzzi
Mutt
Neco
Norton
Piaggio
Peugeot
Rieju
Royal Enfield
Sherco
Super Soco
Suzuki
SYM
Triumph
Vespa
Yamaha
Other

Transmission Type

Petrol
Diesel
Electric
Electric / Petrol Hybrid
Electric / Diesel Hybrid
CNG (Compressed Natural Gas)

UK Roadside Assistance & Local Recovery
UK Roadside Assistance & Nationwide Recovery
UK Roadside Assistance, Nationwide Recovery & Homestart
UK Roadside Assistance, Local Recovery, Homestart & European
? Cover starts 24 hours after inception.

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