Pajero Club - Specialist Pajero Insurer

Pajero Club Insurance
Low Cost Insurance for Pajero owners

Whatever the cover you are looking for, whether it's third party only, third party fire & theft or fully comprehensive, we have exclusive access to the most competitive policies for Pajero owners.

We have a wealth of experience in the insurance market for imported 4x4's, our relationships with insurers, enables us to provide you with the best deal on your Pajero Insurance.

** Are you looking to have a ZERO EXCESS? **
This can be arranged for under £50 per driver, just ask when contacting us...

Please complete the form below to get a Quick Quote on your Pajero Insurance...

Personal details.		Required fields are marked with ***
Surname:		***
Christian Name:		***
Title:
Gender:
Date of Birth:		***
Postcode:		***
Email Address:		***
Telephone Number:		***
House Number or Name:		***
Are you a homeowner?:
Commencement date of cover:		***
Date you passed driving test:		***
How many vehicles do you have access to including this vehicle?:
Occupation:
Business:
Employed / Self Employed:
Vehicle Details
How much (%) No Claims Bonus
OR How many Years No Claims Bonus for this vehicle?:
Year of vehicle Registration (not imported year)		***
Exact Make and Model of Pajero:		***
SWB or LWB:
Automatic or Manual:
Value of vehicle:		***
Cover required:
Security on vehicle: (Proof of your security will be requested, so please ensure you can provide VSIB certificate etc.)
Where will the vehicle be kept overnight drive/garage/public road?:		***
Annual mileage:		***
Current mileage on vehicle:		***
Further information
Any additional drivers, if so how many?:
If additional drivers, please complete the following fields for each, with the information requested to the right:		Surname, Christian Name, Title, Gender, Date of Birth, Postcode, House number or name, Passed test date, Occupation, Business, Employed or self employed, relationship (i.e. Spouse, parent, daughter, son, unrelated or common law partner).
1st Additional Driver		Second Additional Driver
Surname Christian Name Title Gender Date of Birth Postcode House number or name Passed test date Occupation Business Employed or self employed, Relationship i.e. Spouse, parent, daughter, son, unrelated or common law partner
3rd Additional Driver		4th Additional Driver

Accidents / Claims
Any accidents / claims in last 5 years:
		Date, Amounts paid to insured and third party, was bonus affected, any personal injury payments?
If YES to above, please complete the next questions, if NO, please go to CONVICTIONS below:		Date Amounts paid to insured and 3rd party Was bonus affected? Any personal injury payments?
CONVICTIONS: Any convictions in last 5 years:
If YES to above, please complete the box to right, with following details for each conviction		Conviction Date Conviction Code Fine Points Banned period
If there any restrictions on your license, please complete the box to the right:
Any disabilities registered with DVLA:
Any further comments or additional information you feel may be relevant:
Finally, please tell us how you found this site, i.e. Word of mouth, search engine, advertising, another web site referral, guess at the web site address etc.
		22125 Please add the random number generated above to the box below:

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