Quick Quote - Park Home Owners

Product area: Park Homes

Business Unit: Towergate Lifestyle

Contact Number: 01242 894150

Complete this form for a call back/quick quote.

The form below is for brokers who want to do more in less time. Our aim is to work with you to win the policies that fit our risk appetite.

If you want a call back or quick quote indication, please complete this form and click the 'Submit’ button at the end.

Broker Facts

Broker company name

Towergate trading reference:

Name *

Phone *

Email *

Are you the holding broker?

Yes
No

Target premium (£)

Proposer Facts

Name of insured

Occupation

Date of birth

Claims in past 5 years

Park home address

Park home postcode

Insurance Facts

Insurance start date

Current insurer

Make and model

Year of manufacture

Is the roof pitched or flat?

Pitched
Flat

Are UPVC windows and doors fitted?

Yes
No

Is an alarm system fitted?

Yes
No

If an alarm system is fitted, please specify type (e.g. Ramtech or Startech)