Contact us on 0333 323 5433
Your application should take around 10 minutes and you'll need to have your bank details (sort code and account number) and National Insurance number, if you have one, to hand. Fields marked with an asterisk* are required.
(E.g. ‘Car fund’ or ‘House deposit’. If you don’t want to name it, just leave this blank.)
I declare that
I consent to the Society using the information supplied on the Application to administer my policy and
acknowledge that it will be held and my policy will be processed on the Society’s computer systems and
may be used for underwriting or claims handling purposes.
To comply with money laundering regulations, we may verify your identity (or the identity of the payer,
if different) by carrying out an electronic check with an independent agency. This will involve an
electronic search of information, including access to databases and credit data. By submitting this form
you consent to us undertaking this check of your identity.
This is the option to have your regular monthly premium automatically increase each year by a set percentage. For
example, if you pay in £30 a month, and choose to increase your yearly payment by 5%, next year your monthly premium
would become £31.50. The following year your monthly premium would be £33.08 and so on. You can choose to increase,
decrease or stop your yearly payment increase at any time.