Caravan Insurance Quote

Max Insurances

 

D1, 27-29 William Pickering Drive,
Rosedale, 0632

 

Phone 0508 629 5626

 

Tel: 09 913 3011
Fax: 09 913 3012

Tell us a bit about your caravan

Your Name

Date of Birth

Your Address

Contact Number

Your Email

Do you have existing caravan insurance

YesNo

If you have, could you tell us the insurance company name and your customer & policy no.

Caravan Use

PrivateBusiness

If your vehicle is used for business purposes, could you tell us the business type

Year

Make

Model

Registration No.

Vehicle Value $

Would you like a quote for your contents inside the caravan

YesNo

Contents Value $

Please let us know the details if you would like to specify some contents

Alarm and/or Immobiliser

YesNo

Parked in Locked Garage

YesNo

Any Existing Damage or Defects

YesNo

If your answer is 'yes' to previous question, please describe

Does your vehicle have non-factory fitted accessories valued over $1000 or modified in any way

YesNo

If your answer is 'yes' to previous question, please detail

Is the vehicle on finance or lease

YesNo

If your answer is 'yes' to previous question, what's the company

Who will be the main driver

What driving licence do you hold and how long have you held your licence for

Have you had any motor claims in the past 12 months

YesNo

Any other relevant information that may affect the insurance cover

Declaration: I/WE HEREBY DECLARE AND WARRANT that the answers given above are in every respect true and correct, and that I/We have not withheld any information within My/Our knowledge likely to affect the decision of the Company as to My/Our eligibility for insurance. This request and declaration shall be the basis of the quote request.

YesNo