Motor Home Quotation

Motorhome Insurance

Would you like a quotation?

Full Name:
E-Mail Address:
Full Postal Address:
Contact Number
Mobile
Vehicle Make
Model
Engine Size (cc)
Length (m)
Width (m)
Year of Manufacture
Value (£)
How was it made?	Coachbuilt
How was it made?	Converted
Maximum Annual Mileage
No of Days Continental Use
Your Date of Birth
Years Claim Free Driving
In the last 5 years ........
have you or any driver had
Any accidents or claims?
Convictions, or disabilities?
Penalty Points?
If Yes above, provide full details
Current Motorhome Insurer
Renewal Date
How many drivers do you require?

Please contact us for further information or with any questions you may have.

You can send an e-mail to:

Or reach us at the following address and phone numbers:

Kerr Group Insurance Brokers

16 Church Street

Kilrea

Co Londonderry

BT51 5QU
Phone: (028) 2954 1954
Fax: (028) 2954 0499

** Kilrea ** Claudy ** Cookstown ** Randalstown ** Ballynahinch **