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Your Quote

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The monthly premium for your [URLParam param=’make’] [URLParam param=’model’] [URLParam param=’gadget’] is £[URLParam param=’premium’]

Buy Insurance

Please use the information provided to consider my application for Insurance for my Mobile Phone.

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Name*
First Last
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Email*
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Gadget Type*
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Make*
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Model*
Gadget Insurance Premium
Include Loss Cover for £1.99 per month
- No - Loss cover not required
- Yes - Please include loss cover.
Additional cover to protect you from accidental loss of your Gadget.
Total
£ 0.00
Phone Number*
Please provide the full number for the mobile phone to be insured.
Phone Number
Please provide a contact number.
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
IMEI / Serial Number

Please provide the serial number of your gadget. You can normally find this by looking on your receipt, the original packaging, or from your device settings screen. You can get the IMEI number from your phone by tapping in *#06# or in settings.
Condition*
- is undamaged and in perfect working order
- has minor cosmetic damage but is in full working order.
Please tell us about the condition of your gadget.
Summary of cover - Please confirm*
- I have read the summary of cover
Bank account Sort Code*
Bank Account Number*
Bank Account Name*
Premiums are paid monthly by Direct Debit, Please enter your bank details here to apply for the insurance. Payments are covered by the Direct Debit Guarantee.

Please note this form is secure and all details are encrypted before being transmitted. You date will only be used in connection with the Insurance Application that you are making today.

Once this application has been received we will confirm cover to you and advise to you prior to payment when insurance premium payments will be collected.
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Your needs.

Please check that this insurance meets your needs – Please read our Insurance Product Information Document

What happens next?

If you apply for insurance today we’ll review your application and confirm that cover is in force by email. We’ll also advise at that time when your payments will be made. You have the right to cancel this insurance at any time. We’ll maintain cover to the end of any period for which you have already paid.