CARAVAN INSURANCE PROPOSAL FORM 

Please fully complete the form below and we will respond promptly.

Full Name  
Address Line 1    
Address Line 2
Address Line 3  
Post Code      
Telephone. Number   
Email Address    
Date of Birth   
Occupation 
Make ?  
Model
Year of Manufacture
Caravan & Equipment Sum Insured 
Personal Effects Sum Insured 
Use

Do you take the Caravan abroad   YES    NO
Have you made any claims in the last 5 years     YES    NO
If Yes Please give details with dates and amount claimed:
Any Security Fitted to Caravan when unattended     YES    NO
If YES  please enter details      
What is the cheapest quote you have received so far and from which company