• Accident Damage cover whilst on Track
  • You can choose your Sum Insured, although we recommend at least 50% of the value of your vehicle
  • Excess is 10% of the vehicle value
  • Additional Drivers can be covered
  • Includes Engine and Transmission for impact cover
  • This policy does not provide Third Party or Passenger Liability Cover

Personal Details

Fields marked with an asterisk are mandatory.

Driver & Age
Driver Address
Telephone
Email*
Car Details & Reg' No.

Event Details

Date & Venue
Organiser

Vehicle Details

Value of Vehicle
Insured Value
Rollcage Fitted Yes No
Tyres (tick where appropriate) Road Legal Slicks
Owner of Vehicle
Owner Address
Additional Drivers