Car
Imported/Modified Vehicle

At Barry Grainger Ltd, we offer a variety of schemes to suit all kinds of motorists. We often deal with imported and or modified vehicles and our helpful and knowledgeable staff have experience in this area. To get a quotation please complete the short form below.

We search from a panel of major insurers to ensure we find a policy to suit your needs at a competitive price. We have a range of car insurance schemes available from young or convicted drivers to high value vehicles so why not get a quick quote now to see if we can save you money on your car insurance.

We operate a UK call centre with helpful and knowledgeable staff to enable us to look after you and answer your questions throughout the duration of your policy, which is why at Barry Grainger Ltd we often find that our customers come back to us to request assistance with other insurance needs such as motor insurance, home insurance, travel insurance and breakdown cover.

To obtain a quotation please complete the form below and we will contact you with a quotation.

Your duty of disclosure
Your insurance is based upon the information provided to the insurance company and you must ensure that all such information is complete and accurate and that any facts that may influence the insurer's decision to accept and pay a valid claim are disclosed. Failure to disclose material information may invalidate your insurance and could mean that all or part of a claim may not be paid.

(* fields are mandatory)

Driver Details
* Proposer / Main Driver:
Second Driver:
* Forename: Forename:
* Surname: Surname:
* Address 1:
Address 2:
Address 3:
* Town:
* County :
* Postcode:
* Type of Licence: Type of Licence:
* Date Passed: Date Passed:
* Date of Birth: Date of Birth:
* Occupation: Occupation :
Access to other Cars: Yes No Access to other Cars: Yes No
* Total Number of Drivers
Vehicle Details
* Make:
* Model:
* Year of Registration:
* Engine Capacity CC:
Type e.g. GLX, ZETEC:
* Type of Body e.g: pick up, flat back etc.
* Where Kept overnight:
* Estimated Value:
Details of security devices fitted:
How long owned:
Please Give a Brief history on what experience you have had in the past with these vehicle types
Please List any modifications including values, if none, please state none
Accidents
Please provide the Date / Circumstances / Cost of Claim
Driver 1:
Have you had any accidents in the last 5 years ?   Yes      No
Driver 2:
Have you had any accidents in the last 5 years ? Yes No
Convictions
Please provide the Date / Offence Code / Points / Fine
Driver 1:
Have you had any convictions in the last 5 years ? Yes No
Driver 2:
Have you had any convictions in the last 5 years ? Yes No
Disabilities / Infirmities
Please provide the Details
Driver 1:
Do you have any disabilities / Infirmities ? Yes No
Driver 2:
Do you have any disabilities / Infirmities ? Yes No
Policy Details
* Type of Cover:
* No Claims Discount
(in years):
How earnt:
Protected: Yes No
* Type of Use:
* Annual Mileage:
Insurance Start Date:
Renewal / Best Premium:
Contact Details
* Phone Number:
* Email Address:
Preferred Contact Method:
 
* How did hear about us ?:
By clicking submit you are agreeing that you have read and accept the Duty of Disclosure