Travel Insurance - Tourist & Business
Tel: 01992 718666
 
To obtain a quote, please complete the following, and press the "Submit Request" button at the bottom of the form. We will contact you by telephone or email with a quote.
email Address
Confirm email Address
Title
First Name
Surname
Company Name
Company Business Type (e.g Clothing Import)
House No./Name
Street
Town
County
Post Code
Country
Tel. Number - Day.
Tel Number - Evening
Occupation
Age
   
Where Did You See Us Advertised
Existing Customer (Any Product) YES NO 
Date of Travel
Number of Days
Date of Return
Where are you Travelling To
Declaration: I declare that the information I have given above is true and complete. I have not withheld any material facts (see IMPORTANT NOTES.) I agree that this proposal shall form the basis of the Contract between me and Shearwater Insurance.
Shearwater Insurance Services Ltd
Registered Office: 2 Bath Place, London, EC2A 3JJ. Registered in the UK Company No: 02701633