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Terms of Business
Online Motor Enquiry Form

Simply complete your details below and one of Halligan Insurances experienced staff will contact you to arrange your motor quotation over the phone.
Personal Information * Indicates required field
Title* Address*
First Name*  
Surname* Town*
Date of Birth* County*
Employer* Occupation*
Email* Phone Number*

Insurance Policy Information
Motor Insurance Renewal Date*
House Insurance Renewal Date

Data Protection Declaration
I hereby consent to the use and recording of my personal details (contained herein or provided subsequently) by Halligan Insurances. I understand that the details I have provided will be held on computer and/or in printed form or otherwise by Halligan Insurances. I agree that this information may be used in the future to contact me by mail/email/telephone/mobile phone/SMS about Halligan Insurances services which may be of interest to me. I understand that the information provided by me will not be passed on to third parties for the purposes of direct marketing. I also understand that I may at no cost instruct Halligan Insurances in writing to no longer hold my data for the purpose of sending me such information and that I have the right of access to and the right to rectify the data concerning me held by Halligan Insurances.