RT46 Motor Traders Integrated Insurance Package

Underwritten by ONE Insurance (Old Mutual Limited)

Confidential Proposal Form

Your Contact Details

How we get back to you

Full Name *

Position / Role

Email Address *

Phone Number *

Section 1

Business Details

Registered Business Name *

Business Type *

Business Address *

Province *

City / Town *

Directors *

At least one director is required. Additional directors are optional.

RT46 Registration Number *

Number of Employees *

Annual Turnover (ZAR) *

Section 2

Theft & Security

Highest Single Vehicle Value (ZAR) *

Maximum Accumulation Value (ZAR) *

Vehicles Stored in Open *

Yes No

Security Measures in Place

Alarm Linked to Armed Response CCTV Installed Keys Locked in Safe After Hours

Section 3

Motor Trade Internal (MTI)

MTI Limit *

Limit R250,000 Limit R500,000 Limit R1,000,000

Number of Hoists

Additional Requirements

Work Away Required Spray Booth Present

Section 4

Motor Trade External (MTE)

MTE Limit *

Limit R250,000 Limit R500,000 Limit R1,000,000 Limit R3,000,000

Minimum Driver Age *

Minimum Licence Period (Years) *

Additional Notes

Anything else we should know?

Additional Information

By submitting this form you consent to ALJ Insurance Brokers contacting you regarding your enquiry. Your information is treated as confidential and used solely for the purposes of preparing your insurance quotation.