Take just five minutes of your time to fill in this survey and Fleetcover will provide a no-obligation quote to you for your fleet insurance. By filling in this form, you will be automatically entered into a free prize draw, giving you the opportunity to win a FREE IPOD NANO.
(Fields marked with a
*
need to be filled in)
Contact Details
Contact Name
*
:
Company Name
*
:
Phone
*
:
E-Mail
*
:
Nature of Business:
Fax:
Address:
City:
Country
:
Post Code:
Insurance Details
Renewal date
*
:
Number of vehicles
*
:
Current insurer:
Annual Premium:
Current broker
I am happy with my current insurance broker's service
I am unhappy with my current insurance broker’s service
I don’t think I’m getting value for money
I want you to benchmark my current premium
Would you like a quote from Fleetcover?
I am interested in a quotation
Please send me more information
I would like you to handle my fleet insurance account
How did you find us?
Referral
Fleetcover website
Through garagecover
Event
Advert
Direct Mail
Email
Other
Can’t remember
Can we do business? 2 out of 3 is good!
If you’re competitive, I would be happy to use Fleetcover
I am pretty loyal to my current broker
I value good service and keen pricing
Thanks for your time...
