http://someplace/image.gif Motor Plus quotation number: QF0012 Mr. p p p p p p p 123 rand@shadows.demon.co.uk QF0012 GBP225.32 8 February, 2010 10 March, 2010 Make Model Engine size Body type Registration number Value AC ACE 2,000 Salon LGO 920Y GBP5,000.00

Policy Cancellation

You have the right to cancel your policy during a period of 14 days after the day of purchase of the contract or the day on which you receive your policy documentation, whichever is later. If you wish to do so and the insurance cover has not yet started, you will be entitled to a full refund of the premium paid.

Alternatively, if you wish to do so and if the insurance cover has already started, you will be entitled to a refund of the premium paid, subject to a deduction for the time for which you have been covered calculated as a proportion of the time for which the insurance would have provided cover and an administration fee of £30.45 (including Insurance Premium Tax at the appropriate rate) to cover any costs incurred by us in issuing the policy. To exercise your right to cancel your policy, please call 05437 367468. Please also return your certificate of motor insurance. If you do not exercise your right to cancel your policy, it will continue in force for the term of the policy and you will be required to pay the premium as stated.

How to claim

If you need to make a claim, please contact us on 05437 868653.

Disclosure of material information

Failure to disclose all material information or any change in the information advised (i.e. information likely to influence the assessment of this risk) could invalidate the insurance. If you are in any doubt whether any information is material it should be disclosed. It is an offence under the Road Traffic Act to make any false statements or withhold any information to obtain a Certificate of Motor Insurance.

Insurers pass information to the Claims and Underwriting Exchange Register, run by Insurance Database Services Ltd (IDS Ltd) and the Motor Insurance Anti-Fraud and Theft Register, run by the Association of British Insurers (ABI). The aim is to help us to check information provided and also to prevent fraudulent claims. When we deal with your request for insurance, we may search these registers. Under the conditions of your policy, you must tell us about any incident (such as an accident or theft) which may or may not give rise to a claim. When you tell us about an incident, we will pass information relating to it to the registers. Your insurance cover details will be added to the Motor Insurance Database, run by the Motor Insurers' Information Centre (MIIC). This has been set up to help identify uninsured drivers, and may be searched by the Police to help confirm who is insured to drive. If there is an accident, the Database may be used by insurers, MIIC and the Motor Insurers' Bureau to identify relevant policy information. You can ask us for more information about this. You should show this notice to anyone insured to drive the vehicle covered under the policy.

If I/we enter into an insurance contract on acceptance of this quotation I/we understand that you will pass the information on this form and about any incident I/we may give details of to IDS Ltd and ABI so that they can make it available to other insurers. I/we also understand that, in response to any searches you may make in connection with this application or any incident I/we have given details of, IDS Ltd and ABI may pass you information it has received from other insurers about other incidents anyone insured to drive the vehicle covered under the policy have been involved in.

In assessing your application we may search the files of licensed credit reference agencies. They may keep a record of the search on their files. We may pass to licensed credit reference agencies details of your payment record with us. Credit agency data is used by businesses to assess applications for insurance, banking, loans, hire facilities and debt collection purposes.

If I/we enter into an insurance contract on acceptance of this quotation I/we understand that you will pass the information on this form and about any incident I/we may give details of to IDS Ltd so that they can made it available to other insurers. I/we also understand that, in response to any searches you may make in connection with this application or any incident I/we have given details of, IDS Ltd may pass you information it has received from other insurers about other incidents involving anyone insured under the policy.