Trafalgar International have developed schemes with a number of motor insurance underwriters who specialise in various sectors of the motor market. As a result, we are able to offer highly competitive premium terms for a wide range of motor vehicles and to individuals in a wide range of occupations.

If you would like to obtain a premium quotation by return e-mail, simply complete the following form and push the 'Submit' button:

About You

Full Name
E-Mail (Required)
Home Address
Occupation
Business Address
Phone	Home		Office
Fax	Home		Office
Age	You		Your Spouse
Nationality	You		Your Spouse

About Your Car

Make and Model
Year of Make
Value

About Your Driving Experience

Licence held	Select origin Thai International	Select type Full Provisional
How many years have you been driving?	You	Your spouse
Accidents in the last three years    (Please give brief details)	Date (DD/MM/YYYY)	Details
	Date (DD/MM/YYYY)	Details
	Date (DD/MM/YYYY)	Details
	Date (DD/MM/YYYY)	Details
Who normally drives your car? (multiple selections allowed) Hold Ctrl key down to select multiples	You Your spouse Driver Other
If 'Other', please state

About Your Existing Insurance

Insurer
Renewal Date
Current No Claim Discount
Deductible

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