Sharpley and Regent Insurance ServicesPicture of the Taj Mahal

Picture of a skierPicture of people paddling in the seaHoliday & Travel Insurance

Carefree cover for you and your family.

Whether you are travelling by air, sea, coach rail or car,
we can meet your holiday or travel insurance needs all in
one package.

Just fill in this short form and we will provide a quote for you as soon as possible.

Insured Persons
INSURED PERSON(S)
State MR/MRS/MISS/MS

Click each box as appropriate

Age (Years)

Family
Unit
(See Note 1)

Delete Money,
Luggage and
Valuables

Winter
Sports

Under
 2

2-18

70
& Over

Note 1: A Family Unit comprises 2 Adults & 2 Children under 18. All ages at date of departure



Your details











Travel details

Period of Travel - maximum of three months







Additional Information










If you make regular holiday trips it may be worth considering Multi-trip Annual Policy cover. This is an annually renewable policy, attracting No Claims Discount in subsequent years. The maximum duration of any one trip is 31 days.


And finally…




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.


Travel Insurance

Sharpley & Regent Insurance Services Ltd.Countrywide member - trust us to put you first
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