Please note, all fields are mandatory.

YOUR DETAILS
Name
Address (Including Postcode)
Telephone
Email
CARAVAN DETAILS
Make of Caravan
Model (including type)
Year of Caravan
Caravan value (if known)
Address where the caravan is stored when not in use? (eg: Driveway, compound)
If home address, is a hitch post in use?	Yes No
Is caravan fitted with an alarm?	Yes No
Any other security devices? ((ie: Tracker, Thiefbeater etc)
If secure site, is CCTV in use?	Yes No
If CASSOA storage is the site Gold?	Yes No

ADDITIONAL ITEMS
Would you like £500 personal contents cover? (eg: bedding , clothing, TV, CD's)		Yes No
Estimated total equipment value? (eg: £1000) (eg: awning, wheel clamp, battery)
Have you had a claim in the last 5 years regarding caravan insurance?		Yes No
If Yes, please provide details of claim.
Would you like further details of breakdown recovery form RAC?		Yes No
Any other details/comments?