By completing and submitting this form I wish to ensure my mobility equipment as detailed on this application form and agree to accept the insurer’s normal form of policy for the type of insurance I have chosen.I confirm that I will look after my mobility equipment with utmost care at all times.
‘I agree to my information being passed to Mark Bates Ltd for the provision of insurance and to the insurer for the purpose of accepting insurance and handling any claims where, if necessary, it may be divulged to third parties, provided your information will be processed in compliance with the provisions of the General Data Protection Regulations
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3 Month Free Scooter & Powerchair Insurance Product Information Document.
3 Month Free Wheelchair Insurance Product Information Document