The Greenslip King - Quotation for Private/Business CTP Insurance

| | | |

Quotation Request for
Private/Business CTP Insurance

This quotation request form is suitable for passenger vehicles, commercial vehicles, and motorcycles.
Further particulars may be requested if needed.
Our staff will return contact with our best price quotation within 24 hours (Monday to Friday).
Alternatively, phone 1300 551 223 (Monday to Friday, 9am - 5pm) to speak with one of our staff.

VEHICLE PARTICULARS

Transfer details directly from your RTA Registration Certificate

Plate No.

Expiry Date

Duration

Use
Private Business

Registered Owner
Garaging Suburb*	Post Code

Year

Make

Model

Shape

* The garaging suburb is shown at the bottom of your
RTA Registration Certificate

FURTHER INFORMATION

1. If your vehicle is:
    a ute or goods vehicle - GVM
    a motor cycle - Engine Capacity
    a bus - No. of seats

2. Age of youngest registered owner?	years
3. Age of youngest driver?	years

4. Does the registered owner have
zero demerit points on their drivers licence? Yes

5. Do you wish to claim an Input Tax Credit* (ITC)?Yes No
* Only GST registered businesses may claim an ITC

YOUR CONTACT DETAILS

Please return contact on quotation by: Email Phone

Click on the 'Send Request' button once only.
A confirmation is displayed when your form has been processed.