GJT Hodgson Insurance Services | Motor Insurance | House Insurance | Commercial Insurance Welcome to GJT Hodgson Insurance Services. Insurance brokers specialising in all types of insurance schemes.

         

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GJT Hodgson Insurance Services specialise in motor insurance and with over 300 different private motor insurance policies available with a panel of top UK insurance companies and with over 30 years experience we are ideally placed to offer you the very best policies at the right price.  All covers are available with a number of driving options.  Various discounts can be given to find you the best price.

For a cheap car insurance quotation please fully complete the form below and we will contact  you with a quotation as soon as possible.
 

Please Read This Statement Before Completing The Form

The quotations we provide you will be based on the following:
1. No drivers have had any accidents or claims or received any motoring convictions.
2.  No drivers have any disabilities or illnesses which can affect their driving or which have been notified to DVLA.
3.   There are No modifications to the vehicle (E.G. Alloy Wheels, Bodykits, Engine, Exhaust Etc).
4.   The vehicle is not left hand drive or has been imported to the UK.
5. There are no more than 4 named drivers on the vehicle.  'Any Driver' policies are available though at extra cost.

Please Confirm You Have Read And Comply With The Above Statement

 N.B.  If you cant agree with the above statement or are not sure about the statement then please ring us on 01288 353999 where we will be more than pleased to offer a quotation over the phone.

Car Insurance Quotation Form

Vehicle Details
Make:
Model:
Engine size (CC's):
Year of manufacture:
Type (i.e.  GL, LX, Sport 16V, etc):
Registration number (If known):
No of doors: 

 
Body type:   
Fuel type:  
Transmission:
Value:  
Security:  
Date of purchase:
Overnight parking:
Who will drive the car:

Drivers Details
Proposer's Details
Title:
First Name:
Surname:
Date Of Birth:
How Often Do You Use This Car:
Occupation:
Employers Business:
Marital Status:
Type Of Licence:
Date Passed Test:
Do You Have Use Of Any Other Car:
Use Of Vehicle:
Annual Mileage Of Vehicle:
Are You A Homeowner:

First Additional Driver Details  (If Applicable)
Title:
First Name:
Surname:
Date of Birth:
How Often Do You Use This Car:
Occupation:
Employers Business:
Marital Status:
Type Of Licence:
Date Passed Test:
Do You Have Use Of Any Other Car:
Use Of Vehicle:

Second Additional Driver Details  (If Applicable)
Title:
First Name:
Surname:
Date Of Birth:
How Often Do You Use This Car:
Occupation:
Employers Business:
Marital Status:
Type Of Licence:
Date Passed Test::
Do You Have Use Of Any Other Car:
Use Of Vehicle:

Third Additional Drivers Details (If Applicable)
Title:
First Name:
Surname:
Date Of Birth:
How Often Do You Use This Car:
Occupation:
Employers Business:
Marital Status:
Type Of Licence:
Date Passed Test:
Do You Have Use Of Any Other Car:
Use Of Vehicle:

General Cover Details
Cover required:
Years No Claims Bonus:
Do you require No Claims Bonus protection?:
Postcode where vehicle kept overnight:
Current insurers (If Applicable):
Renewal/Target premium:
Renewal date:

Your Contact Details
Contact name:
Phone number:
Address:

Email address:
How would you like us to contact you with our quotation: 
 
 

 

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