Company Validation Check

Please enter your company code below to purchase cover. If you do not know your code, call us on 03333 446645

Company Code is required. Company Code can be no longer than 100 characters.
Company Name is required. Company Name can be no longer than 100 characters.
Step 1 - Vehicle Details

 

Disclaimer: When adding multiple vehicles, vehicle 1 must be the highest level of cover required.

Vehicle {{$index + 1}}:

{{vehicle.registration}}

{{vehicle.model}}

{{vehicle.make}}

Level {{vehicle.package.index}} - {{vehicle.package.name}}

Please select the required cover for this vehicle

{{vehicle.package.startDate}} - {{vehicle.package.endDate.toDate() | date:'dd MMMM yyyy'}}

{{vehicle.package.slots[vehicle.index].price | currency:"£"}} MONTHLY

{{vehicle.package.slots[vehicle.index].price | currency:"£"}} ANNUAL


Total Cost of Cover - {{monthlyTotalCoverCost() | currency:"£" }} monthly

Total Cost of Cover - {{annualTotalCoverCost() | currency:"£" }} annually

Step 2 - Personal Details
First Name line is required. First Name can be no longer than 250 characters.
Surname can be no longer than 250 characters.
Address line is required. Address line can be no longer than 250 characters.
Address line can be no longer than 250 characters.
Town is required. Town can be no longer than 250 characters.
Postcode is required. Postcode can be no longer than 250 characters.

Address Data will only be used for Payment Proccessing and not be stored by Vehicle Benefits

Step 3 - Contact Details
Primary Email is required. Primary Email can be no longer than 250 characters.
Primary Email is required. Primary Email can be no longer than 250 characters. Primary Emails do not match
Secondary email is mandatory as a second point of contact. Secondary Email can be no longer than 250 characters.
Secondary email is mandatory as a second point of contact. Secondary Email can be no longer than 250 characters. Secondary Emails do not match
Telephone line is required. Telephone line can be no longer than 250 characters.
Password must contain 1 lower case and 1 upper case letter a number and a symbol.
Confirmation Password is required. password line can be no longer than 25 characters. Password must contain 1 lower case and 1 upper case letter a number and a symbol. Passwords do not match
Step 4 - Cover Type Summary

 

Vehicle {{$index + 1}}:

{{vehicle.registration}}

{{vehicle.package.level}}

>

Covered till: {{vehicle.package.validTo}}

{{vehicle.package.startDate}} - {{vehicle.package.endDate.toDate() | date:'dd MMMM yyyy'}}

{{vehicle.package.slots[vehicle.index].price | currency:"£"}} MONTHLY

{{vehicle.package.slots[vehicle.index].price | currency:"£"}} ANNUAL



Total Cost of Cover - {{monthlyTotalCoverCost() | currency:"£" }} monthly

Total Cost of Cover - {{annualTotalCoverCost() | currency:"£" }} annually

To ensure continuity of breakdown cover for your vehicle/s, your policy will be auto-renewed at the 12 months expiry. You can cancel this at checkout by de-selecting the "please auto-renew my policy" tick box. If, during your cover, you wish to cancel auto-renewal, you can arrange this by clicking the "cancel autorenew" button in your user area available after you have purchased cover.

Step 5 - Payment

This will trigger a recurring payment from your bank account

Payment will be taken from your bank account on {{startDate | date: 'dd/MM/yyyy'}}.

Card Holder Name line is required. Card Holder Name can be no longer than 250 characters.