Pet Insurance

Cat

Dogs Pet Insurance

With each visit to the vet the bills seem to get bigger
and bigger!

We can give you a choice of the most competitively
priced insurance cover. So whether its just the pet hamster
or the 3 cats, 2 dogs, goldfish and an iguana that need
cover give us a call. Horse

Our Customer Account Executives are available between 09:00 and
17:00 every weekday.

Call now on 0845 130 0202 (Calls charged at local rate) for a great quote or fill in the form below and we will contact you.

Your Details…
Title

First Name

Surname

Address 1

Address 2

Address 3

Town

Postcode

Telephone Number

Fax Number

E-mail

Pet Details…
Animal to be insured (Horse, Dog, Cat)

Pet Name

Breed/type

Colour

Age

Sex

Insurance details…
Sum insured

If you have any previous claims in the last three years please give details

Additional Questions for Horse owners…
Height of horse

Purpose for which animal is kept (please choose Class A or both A and B

Activities Covered
Class A - For horses and ponies over the age of 30 days and under 15 years. All Riding Club or Pony Club activities, showjumping, dressage, combined training, showing, gymkhanas and foals over 30 days.
Class B - Adds hunting, hunter trials, novice and intermediate eventing, long distance riding, arab racing, combined driving, novice team chasing and heavy horse breeds.

Optional extensions 75% Loss of Use - cover for accident, sickness, illness and disease and you keep the horse.

Vet Emergency Helpline - and up to £25,000 legal costs and free legal advice

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
E-mail: sri@srins.co.uk

ã Sharpley & Regent Insurance Services Ltd. 1999 - 2007