Van Insurance Quote

Simply fill in your details below then click the Submit button at the bottom of the page.

So that we can process your enquiry more quickly, please fill in all the mandatory fields.

General Information
Title	Please Select Mr Mrs Miss Ms
First name
Surname
Name of policy holder (if different)
Address Line 1
Postcode
Daytime Phone Number (including STD code)
Evening Phone Number (including STD code)
Email Address
Occupation/Business Description
What is your marital status?
DOB	Day 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th 13th 14th 15th 16th 17th 18th 19th 20th 21st 22nd 23rd 24th 25th 26th 27th 28th 29th 30th 31st Month January February March April May June July August September October November December Year 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
Vehicle Details
Vehicle type	Please Select Van Pick-up Tipper Over 3.5 Ton
Number of vehicles to insure	Please Select 1 2-4 5+
Have there been any modifications made to the vehicle(s)	Yes: No:
If Yes then please give details
Make of vehicle
Model of vehicle
Vehicle registration number
Year of manufacture	Please Select 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 pre 1980
Approximate value (£)
Non-standard security fitted alarm	Yes: No:
Is there an immobiliser fitted	Yes: No:
Is there a tracking device fitted	Yes: No:
How is the vehicle stored	Please Select carpark carport garaged locked building locked compound parked on drive private property public road
Renewal Date	Day 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th 13th 14th 15th 16th 17th 18th 19th 20th 21st 22nd 23rd 24th 25th 26th 27th 28th 29th 30th 31st Month January February March April May June July August September October November December Year 2007 2008 2009
Overnight storage postcode
Approximate annual mileage
When would you like your new policy to start?
What is your best quote?
Who is your current or most recent insurer
How many years no-claims bonus do you have	Please Select 0 1 2 3 4 5 6 7 8 9 10
What type of cover do you require	Please Select fully comprehensive Third Party, fire & theft Third Party, only
Who is the registered owner of the vehicle	Please Select policy holder Other
Who will be driving the vehicle	Please Select Insured only Insured & Named Any Driver
Age of driver/s
Age of youngest driver
Have you or any of the drivers ever been refused insurance	Yes: No:
Have you or any of the drivers had any accidents or claims within the past 5 years	Yes: No:
Have you or any of the proposed drivers had any motoring convictions within the past 5 years. For example speeding tickets, endorsements etc.	Yes: No:
Please tick this box to confirm that you have read and agreed to 'Your Privacy and Security' and wish to proceed.	We can only implement policies in the United Kingdom and the Channel Islands (excluding N.Ireland).

Thank you. Simply click on the submit button and you will be contacted very soon.

Telephone: 0845 601 9280 | © Copyright 2006 Performance Direct Business Insurance. All rights reserved.