Quotation - Car - Famous Insurance - Insurance for Prestige Cars and Bikes

Tell us about Yourself

Are you currently, or have you ever been a Famous Insurance Client(Required)

How did you hear about Famous Insurance Brokers(Required)

When would you like your insurance policy to begin(Required)

Insured's Name(Required)

First Last

Insured's Contact Number(Required)

Insured's Email Address(Required)

Age of the Main Driver(Required)

Thanks for your enquiry, our current facilities don’t offer coverage for your age group. We are working on it and will make contact when this changes.

How often do you drive the vehicle(Required)

Thanks for your enquiry, our current facilities don’t offer coverage for your usage. We are working on it and will make contact when this changes.

Kms Driven Per Year(Required)

Thanks for your enquiry, our current facilities don’t offer coverage for your usage. We are working on it and will make contact when this changes.

Tell us about Your Drivers

Driver's Name(Required)

First Last

Driver's Contact Number(Required)

Driver's Date of Birth(Required)

Driver's Gender(Required)

Male

Female

Number of motor accidents, claims / losses (regardless of fault), thefts (including attempted thefts), malicious damage, damage whilst parked and weather (hail) damage within the last 5 years

Please list all traffic offences

All traffic offences, licence suspensions, good behaviour periods, or special terms imposed within the last 5 years

All criminal convictions, bankruptcies, claims declined, and/or declined/cancelled insurance policies (any type) within the last 5 years for Driver and/or Insured

Type of Licence Held by the driver(Required)

Number of years driver has held an Australian Licence(Required)

Would you like to add an additional driver?(Required)

Yes

No

Additional Vehicle Driver Details

Driver's Name	Actions

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Review Your Details

Tell us about Yourself
Are you currently, or have you ever been a Famous Insurance Client	{:47}
How did you hear about Famous Insurance Brokers	{:48}
When would you like your insurance policy to begin	{:49}
Insured's Name	{:50.3} {:50.6}
Insured's Contact Number	{:51}
Insured's Email Address	{:52}
Age of the Main Driver	{:53}
How often do you drive the vehicle	{:55}
Kms Driven Per Year	{:57}
Tell Us about Your Special Ride
Type of Insurance Cover required	{:1}
Cover Type	{:3}
Salvage Rights	{:4}
Hire Car	{:5}
Windscreen Cover	{:7}
Is the vehicle registered	{:9}
State	{:8}
Registration number	{:10}
VIN Number or Engine Number	{:11}
Year of Manufacture	{:39}
Make	{:40}
Model	{:41}
Description/Model Name/Variant/Spec/Badge	{:42}
Series	{:43}
Body Type	{:73}
Transmission	{:74}
Engine Capacity	{:18}
Security System on the Vehicle	{:19}
Value of Vehicle (including modifications and accessories))	{:20}
Is the vehicle under finance	{:21}
(If yes to above) Finance Company	{:22}
Purchase Price	{:23}
Purchase Year	{:44}
Any modifications on the vehicle	{:25}
Please tell us about your Modifications	{:26}
Modification / Accessory	{:27}
Existing Damaged or a Previous Write Off	{:28}
Provide details	{:29}
Kms Driven Per Year	{:30}
Used for Commuting to & from place of work/study or school drop off/pick up?	{:32}
Will the vehicle be driven by anyone under the age of 25 years old	{:33}
Details	{:34}
How is the vehicle parked over night	{:35}
Overnight Parking Address	{:37.1}, {:37.3}, {:37.4}, {:37.5}, {:37.6}
Tell us about Your Drivers
Driver's Name	{:79.3} {:79.6}
Driver's Contact Number	{:80}
Driver's Date of Birth	{:81}
Driver's Gender	{:82}
Number of motor accidents, claims / losses (regardless of fault), thefts (including attempted thefts), malicious damage, damage whilst parked and weather (hail) damage within the last 5 years	{:83}
Please list all traffic offences	{:84}
All traffic offences, licence suspensions, good behaviour periods, or special terms imposed within the last 5 years	{:88}
All criminal convictions, bankruptcies, claims declined, and/or declined/cancelled insurance policies (any type) within the last 5 years for Driver and/or Insured	{:85}
Type of License Held by the driver	{:86}
Number of years driver has held an Australian License	{:87}
Would you like to add an additional driver?	{:89}
{:63}

Do you have another vehicle to insure with Famous?(Required)

Yes

No

Thank you for your request. A Famous Insurance Broker will be in touch soon to add additional vehicles to your quote request. Alternatively, you are welcome to complete another quote form if you prefer.

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Quotation - Car

Tell us about Yourself

Thanks for your enquiry, our current facilities don’t offer coverage for your age group. We are working on it and will make contact when this changes.

Thanks for your enquiry, our current facilities don’t offer coverage for your usage. We are working on it and will make contact when this changes.

Thanks for your enquiry, our current facilities don’t offer coverage for your usage. We are working on it and will make contact when this changes.

Tell Us about Your Special Ride

Tell us about Your Drivers

Review Your Details

Tell us about Yourself

Tell Us about Your Special Ride

Tell us about Your Drivers

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