Motor Insurance from Hastings Insurance Brokers & Advisors

Motor Insurance Quotation from Hastings Insurance Brokers

Please fill in the form below for a competitive Motor Insurance quotation from Hastings Insurance Brokers.
We will reply to you within 1 working day with a quotation.

CLIENT DETAILS
Name*
Address*
Date Of Birth*
Occupation*
Email Address*
Telephone
Mobile*
Licence (select one):	Full Provisional
How many years No claims bonus do you have?
If none, have you been a named driver?	Yes No
How many years as a named driver?
Is the car for business use?	Yes No
Have you or any named drivers received penalty points in the last 5 years?
**Have you or any named drivers had any accidents, claims or convictions in the last 5 years? (if yes, please detail)***
Do you or any named drivers have any pre-existing medical conditions? (if yes, please detail)*
CAR
Make of Car
Model
Year of Manufacture
Value
Reg. Number
Petrol / Diesel	Petrol Diesel
Engine Size (cc)
Cover Required (Select one):	Comprehensive Third Party Fire & Theft Third Party
ADDITIONAL DRIVERS
Driver 1
Name*
Relationship to policy holder:*
Date of birth:*
Licence:*	Full Provisional
Occupation*
Driver 2
Name*
Relationship to policy holder:*
Date of birth:*
Licence:*	Full Provisional
Occupation*
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Hastings (Westport) Ltd t/a Hastings & Co, JJ McNicholas, Killeen Insurances, Tyrrell Insurance Brokers and Rouse Insurance Brokers. Registered office: The Octagon, Westport, Co Mayo. Registered in Ireland Number: 233849.

David Flannelly (Holdings) Ltd t/a Flannelly Insurances Registered office: Chapel Street, Castlebar, Co Mayo. Registered in Ireland Number: 127825.

Pat Hardiman Insurances Ltd t/a Hastings Insurance Brokers Registered office: The Octagon, Westport, Co Mayo. Registered in Ireland Number: 63406.

The Company is also a member of the Irish Brokers Association and is authorised as a credit intermediary under the Consumer Credit Act 1995.

Hastings Westport - 098 27227 | Hastings Tuam - 093 24868 | Hastings Ballina - 096 21599 / 096 22544 | Hastings Castlebar - 094 9023193 | Hastings Claremorris - 094 9362137

Hastings Insurance Brokers & Advisors Mayo and Galway