Please select 1 of the following. Do you wish driving to be restricted to;

Other Products and Services

In future we, Dolmen Insurance Brokers, would like to use your personal data to contact you for purposes of offering you other products and services, including those available from companies in the Dolmen Insurance Brokers Group and carefully selected third parties, which we think may be of interest to you. In connection to this, and occasionally, for market research and statistical purposes, the services of a reputable external agency may be used.

Agreed methods of contact:

Declaration

I declare and confirm that I understand that I have a duty to complete the answers in the proposal honestly and with reasonable care. I also declare that the particulars in the proposal are true and correct and that if anything in this form was written by another person, he/she acted on my instructions as my agent for this purpose. I agree that this proposal and declaration shall be the basis of the contract between myself and Dolmen Insurance Brokers Ltd.

I have read and I accept the privacy policy and consumer insurance contracts act 2019 and terms of business