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Call us on 0800 203 041 for a quote, or fill in your details below and we’ll get back to you via email or phone.

For more information on the State Warranty Policy, click here for a policy overview.

Vehicle Information

Please ensure you complete all fields marked with *

* Name
* Email
* Contact Phone
* Finance Company (if applicable)
* Make
* Model
* Model Type (e.g. Station Wagon)
* Year of Manufacture
* Registration no
* V.I.N number (found under the bonnet)
* Vehicle Usage
* Vehicle Purchase date
* Purchase Price $
* Current Vehicle Mileage
* Engine capacity
* Motor Vehicle origin
* Seating Capacity

* Type of plan	12 months 24 months 36 months

* I declare that	1. The information and answers I written on this Proposal are a truthful and complete record of all the information provided by me.

	2. I have downloaded, read, understood and retained a copy of the Policy Wording (which includes the Important Notices) and agree
	to be bound by the terms and conditions of the policy.

	I authorise State to collect or disclose any personal information relating to this insurance to/from any other insurers or insurance reference service.

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