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Customer Care
1) What is Covered?
2) What is the Cost?
3) Important Information
4) How to Claim?
5) Buy Now
PHONE INSURANCE
Title:
Mr.
Mrs.
Miss.
Dr.
Other
First name:
Middle Initial:
Surname:
Address:
Postcode:
Daytime Tel:
Email:
Product type:
Make & Model:
Mobile Number:
IMEI/Serial No.:
Level of cover:
Economy insurance - £2.49 per month
(Covers your phone
up to the value of £150)
Standard insurance - £5.88 per month
(Covers your phone
up to the value of £400)
Executive insurance - £7.99 per month
(Covers your phone
up to the value of £1000)
Dealer:
How would you like to pay for your insurance?
Direct Debit (Monthly)
Credit Card (Annually)
DIRECT DEBIT DETAILS
Account holder name:
Bank/building society account number:
Bank/building society sort code:
-
-
CREDIT CARD DETAILS
Name on card:
Card Number:
Valid from:
\
Valid Until:
\
Issue Number:
CBT Number
I agree to all
terms and conditions
.
I have read the
key facts
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