Car Breakdown Cover Quote

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Car Breakdown Cover

Please complete the enquiry form below and we will contact you with a competitive quote for your Car Breakdown Cover.

Your details…
Title
First Name
Surname
Address
Postcode
Telephone Number
E-mail

Vehicle Details…
Vehicle Registration Number
Year of Manufacture

Breakdown Cover options
Roadside
Roadside + Recovery
Roadside + Recovery & At Home
Roadside + Recovery, At Home & European

Summary of benefits
Roadside - Assistance provided for breakdown at the roadside in the UK. If the vehicle cannot be repaired, it will be towed to a local garage.
Roadside + Recovery - Roadside & recovery offers all the benefits of Roadside plus if the vehicle cannot be repaired, the RAC will take the vehicle plus up people to any destination in the UK in one uninterrupted trip.
Roadside + Recovery & At Home - All the benefits of Roadside + Recovery plus the RAC will attend breakdowns at the clients home. If the vehicle can't be fixed on the spot, it will be towed to a local garage.
Roadside + Recovery, At Home & European - Offering all of the above plus assistance if the vehicle suffers a breakdown, accident, fire or theft in Europe.

And finally…
Is there anything else you need to tell us about?

How did you hear about this web site

The personal details you have submitted on this form will be used only for the purposes of supplying you with a quotation. None of this information will be made available to other companies or organisations for the purpose of mailing, promotions, direct selling or any other offers.

Thank you for filling in this form. Please ensure you have filled in as much as possible - the more details you give us the better quote we can give you!

For you own records you may like to have a printed copy of this form.

Just press the Print Form button.
Press the SEND button to forward your details to us.

We will forward a quote as soon as possible.

Sharpley & Regent Insurance Services Ltd.
38 Alexandra Road, LOWESTOFT, NR32 1PW
Tel: 0845 130 0202 (Calls charged at local rate)
Fax: 01502 532605

ã Sharpley & Regent Insurance Services Ltd. 1999 - 2007