ETA Mobility Scooter

Your details

First name

Last name

Date of birth

Email address

We'll email you with details of your quote or policy.

Phone number

We'll use this number if we need to contact you about your policy.

+44

What is your address?

Type in your postcode and select your address.

Billing address

My billing address is the same as storage address

Who is the insurance for?

The insurance is for me

First name

Last name

Date of birth

Add another person to the policy?

Yes

First name

Last name

Date of birth

Your level of cover

Please select the amount you’d need to replace your mobility scooter, or powered chair, if you were buying new at today’s prices.

How We Will Use Your Information

I have read and accept the terms and conditions, especially the main benefits and key exclusions, how to complain and how to claim. I declare that, to the best of my knowledge and belief, this application has been completed correctly.

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