Products - Real Deal Motor Sport Insurance Quote

[Note: We are licensed to provide insurance cover for Australian residents only]

For acceptance, every question must be fully answered.
   
Insured Name in Full
Contact Person
Address Line 1
Address Line 2
Post Code and State
Business Phone
Mobile Phone
Home Phone
Email Address
Date of Birth
Occupation
Date coverage needs to be effective  
   
Note: Cover can only commence from payment of premium, usually faxed or phoned authorised credit card. Upon receipt of premium payment, completed proposal and photo within 30 days of binding, the file will be complete. If file is not complete within 30 days, we will process cancellation.

Please nominate which of the sanctioning bodies you race under and the sub-class.
Note: You must specify racing classification in order to obtain quote.
  

Sanctioning Body Sub-Class
   NASCAR / AUSCAR
   ANDRA
   CAMS
   NASR
   Other   
          
Principal location of racecar.

Will vehicle ever be loaned or rented to others?    Yes          No
Will vehicle be garaged at above location?    Yes          No
Will the garage be locked?    Yes           No
Will more than one vehicle be stored in this garage?    Yes        No
If yes, please explain.
What is the construction of storage building/area?   Wood   Brick
Are doors locked at all times?   Yes   No
If no, please explain.
Number of windows?
Are they locked?   Yes   No
Are they barred?   Yes   No
Number of fire extinguishers in garage?
Is there an alarm system installed and in working condition?   Yes   No
If car is stored in trailer, state precautions taken to avoid theft.
What other precautions have ben taken to reduce loss?

What is the longest distance (kilometres) to be travelled from principal location of race vehicle?
How many kilometres do you travel annually?
Which states do you travel to (including principal location)? QLD NSW
VIC WA
ACT SA
TAS NT

Inventory List
Include race vehicles, trailers, spare parts, engines, tools etc
Vehicle Type Engine Make & Capacity Sum Insured
  
Accessories, Parts, Equipment, Tools Sum Insured
   
Trailer Size and Description Sum Insured
  
Total Sum Insured
  
Your Duty of Disclosure
Before you enter into a contract of general insurance with an insurer, you have a duty, under the Insurance Contracts Act 1984, to disclose to the insurer every matter that you know, or could reasonably be expected to know, is relevant to the insurer's decision whether to accept the risk of insurance, and if so on what terms.
You have the same duty to disclose those matters to the insurer before you renew, extend, vary or reinstate a contract of general insurance.
Your duty however does not require disclosure of matter
- that diminishes the risk to be undertaken by the insurer
- that your insurer knows or in the ordinary course of his business, ought to know
- as to which compliance with your duty is waived by the insurer.

Non-Disclosure
If you fail to comply with your duty of disclosure, the insurer may be entitled to reduce his liability under the contract in respect of a claim or may cancel the contract.
If your non-disclosure is fraudulent, the insurer may also have the option of avoiding the contract from it's beginning.