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BUSINESS INSURANCE
      
Professional Indemnity
      
Liability Insurance
      
Office Insurance
      
Property Owners Insurance
      
Tradesmen Insurance
      
Retail Insurance
      
Motor Trade Insurance
      
HEALTH INSURANCE
      
Individual and family
      
Business
      
      
HOME INSURANCE
      
Request a Quote
      
      
UNOCCUPIED PROPERTY
      
Unoccupied Houses
      
Unoccupied Commercial Property
      
      
      
TRAVEL INSURANCE
      
Single Trip
      
Annual Multi Trip
      
Extended Stay
      
      
MOTOR INSURANCE
      
Commercial Vehicle Insurance
      
Motor Fleet Insurance
      
        
        
Commercial Motor Insurance
        
Please complete this form to enable us to obtain a commercial vehicle quotation for you.

If you don't feel like completing the whole form just give us your phone number and we will contact you.

( * required fields )
      
Name *
Surname*
Phone *
Email Address *
      
        
Vehicle details
Make & Model
(e.g. Ford Transit)
Type
(e.g. SL, GLX, SE)
CC
CWT
Year
Value
        
Policy
      
Type of cover
        
District (e.g. Swords, Co Dublin)
        
Who will drive
        
Number of named drivers
      
Main Driver's details
Sex
MaleFemale
D.O.B
Licence
Period held
Occupation
Marital Status
No Claims Bonus (Commercial Vehicle)
No Claims Bonus (Private Car)
Penalty points
Details of claims, losses, accidents, convictions, disabilities
      
Second Driver's details
Name:
Sex:
MaleFemale
D.O.B:
Licence:
Period held:
Occupation:
Marital Status:
Penalty points:
Details of claims, accidents, losses, convictions, disabilities:
      
More drivers?
If you want to include more drivers in your policy please submit their details here
      

Other details
      
This form is for quotation purposes only and is not confirmation of a quote or insurance cover. Insurance cover will only commence on receipt of a completed proposal form, payment and written confirmation from Rooney Insurances.
      
 
      
      
        
        
Rooney Insurances Ltd is authorised by the Financial Regulator as a Multi-Agency Intermediary.
      
Rooney Insurances Limited - c/o Martin & Garvan Insurances, 96 Upr. Drumcondra Road, Dublin 9
        
Phone: +353 (01) 837 9276        Fax: +353 (01) 833 3515        Email: info@rooneyinsurances.ie        Powered by: go2web