Please print, complete, sign and fax back to UK Tel: +44 (0) 117 9822229
Please keep a copy for your
records. If you cannot fax please post to:
1st Move International Limited. International House, Chittening
Industrial Estate,
Avonmouth Bristol BS11 0YB
|
|
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Agency : 1st MOVE INTERNATIONAL LIMITED |
Policy Number : |
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PROPOSAL - VEHICLES |
|
Full Name of Proposer (You the customer) |
|
UK Address
Postcode |
|
Please note that
when completing your insurance values, the correct value for the vehicle
insured is listed. |
| Vehicle Make/Model: |
| Vehicle Registration: |
| VIN Number: |
| Full Market Value at Destination: £ |
| Additional Items (e.g. Satellite Navigation) : £ Factory Fitted: Yes/No |
| £ Factory Fitted: Yes/No |
| £ Factory Fitted: Yes/No |
|
Additional Information
relating to the above vehicle, for insurance purposes only i.e. modifications and their values: |
|
PLEASE ENSURE THAT ONE PROPOSAL FORM IS COMPLETED FOR EACH VEHICLE |
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N.B. All material facts must be disclosed. Failure to do so could invalidate the Policy. A material fact is one that would be likely to influence an Underwriter in the assessment and acceptance of the proposal. If in any doubt as to whether a fact is material then it should be disclosed.
You should keep a record ( including copies of letters) of all information
supplied to Underwriters for the purpose of entering into the contract. A
copy of the completed proposal form will be supplied by Underwriters on
request within three months of completion of the proposal . |
|
Date |
Proposer 's Signature |
Please print, complete, sign and fax back to UK Tel: +44 (0) 117 9822229
Please keep a copy for your
records. If you cannot fax please post to:
1st Move International Limited. International House, Chittening
Industrial Estate,
Avonmouth Bristol BS11 0YB
|
Limited
Liability We encourage all
our customers to take out insurance to cover themselves against losses
greater than the limits set out in our terms and conditions and for risks
where they have no rights of recourse against the removal contractor. Whilst every care is taken it is unfortunately a fact, that there are times, very occasionally, when something does get damaged or lost. Like all car shipping companies Autoshippers UK rely on certain outside parties to assist in your move. This may be the shipping line or indeed an over zealous customs officer who decides to inspect your vehicle. To cover for such eventualities we offer a Lloyds insurance policy to cover your goods whilst in our care.
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...................................................End of
form.............................................................