Name: Mr Matthew Drury
Date: 25/06/2014
Policy Number: 6035113842

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Return Checklist
In order for your cover to continue and/or at the same premium your insurers require that all of the items below are returned with this checklist within the next 14 DAYS.
<rootnode><logo>FD .gif</logo><faq>http://www.fluxdir ect.co.uk/faqs.php</faq><menu>#ea1b15</menu><quotephone> 0800 089 0154</qu otephone><bg>#ea1b15</bg><home> http://www.fl uxdirect.c o.uk</home><quote> http://www.fluxdirec t.c o.uk</quote><c ontac t>http://www.fluxdirec t.c o.uk/c ontact.php< /contact>< pri vac y> http://www.fluxdirect.c o.uk/pri vac y.php</pri vac y><about> http;//www.fluxdirec t.c o.u k/about.php< /about><ter ms>http://www.fl uxdirect.co.uk/Fl uxDirect_T oB.pdf</ter ms><C hec klis t>Li mited Mileage D ecl arati on F orm ( attac hed) - Pl eas e C omplete and Sign
</Chec klist><c hec k> Li mited Mileag e D eclar ati on For m ( attac hed) - Pleas e C ompl ete and Sign
</chec k><booklet>http://www.fluxdir ect.c o.uk/books.php</bookl et><av> http://www.fluxdir ect.co.uk/ins tructi ons.php</av><pa>You also have Pers onal Protec tion on your polic y. Pleas e clic k the above li nk to the polic y book s ec tion of our website, the i ns urer for this pr oduct is Trinity Lane</pa><affiliati on>Fl ux Direct</affili ation><email>@ hertsins uranc e.c om</email><phone>0844 888 9090</phone><agentwebsite> www.fluxdir ect.c o.uk</agentwebsite><clientname>Mr Matthew Dr ur y</clientname><c urrenthol der>MAT THEW L DRUR Y</c urrenthol der>< premium> 423</premium><r enewal date>26/06/2015</r enewaldate><rendate>26/06/2015</r endate><for ename>Matthew</for ename><s urname>Drur y</s urname><ti tle>Mr</titl e><Clai mR efer ence></Cl ai mRefer enc e><insur ername>Highway</i nsur ername><mtapremi um>0.00</ mtapremium>< enddate> 26/06/2015</enddate><startdate> 26/06/2014</startdate>< Polic yR eferenc e>6035113842</Polic yR eferenc e><annual mileage></annual mileage><registr ation> WJ 51 PKX</r egistration>< vehicleval ue> 3000</vehicl evalue><der7days></der7days>< vehmake>VOLKSWAGEN</vehmake>< vehmodel>GOLF< /vehmodel><PortalD oc>Generic R eturn
Documents</PortalD oc>< whypaper wor k> https ://www.hertsi nsur ance.com/returndocs/H IC0140- WhyPaper wor k.pdf< /whypaper wor k>< mobil efriendl y> 0330 123 1840</mobil efriendl y></rootnode>

IMPORTANT
Failure to return these could lead to an increased premium or the policy being cancelled

Ways to return your documents
Online

Email

Post

If you have provided us with your email address you will receive details of how to log on to your online account

Send your documents to forms@hertsinsurance.com FREEPOST NW 5264
2 The Causeway
Bishop's Stortford,
Hertfordshire, CM23 2ZD

Items to return – DEADLINE: 10/07/2014

Flux Direct is a trading name of Adrian Flux Insurance Group and used under licence by HIC. Authorised and regulated by the FCA.

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- Limited Mileage Declaration
Complete and sign the Limited Mileage Declaration. As you have selected a low mileage please ensure that this meets your needs as exceeding this limit could mean that you are uninsured should a claim arise

Vehicle:
VOLKSWA
Return by:
GEN GOLF
Email:
Registratio
TOUAREG
(scanned
Important
Insurers only permit a limited period for all documents to provide. Why do we ask for additional documents? n SENumber:
TDI
PD image) Registratio
WJ51
PKX forms@hertsins Insurers only permit a limited period for all documents to provide. Why do we ask for n urance.com
Number:
additional documents?
PJ05
Post: RGX

Securi
Limite
ty d Mileag
Declar
ation e Declar
Compl
ation ete, FREEPOST
1.
To help reduce the premiums that we can offer.
NW
5264
Sign
Compl
2.
We want to ensure that details provided are correct avoiding any issues should a claim occur.
2 The ete, and
Causeway
This is information that should be readily available to you should you have any issues please call us
Bishops
Sign
Retur
Stortford and n
Hertfordshire
Return
CM23 2ZD
Imme
Before Returning