Customer information panel

Name, address and all other info recorded from previous form

Temporary policy number and level of cover.

A copy of this information has been emailed to you. Please advise any errors immediately to 0800 066 99 10

Thank you for applying for /scheme level/

Your temporary policy number is /gen number/

Temporary cover has been registered to you for 28 days. In the event of an accident you should contact our emergency helpline free on 0800 066 99 10.

You will benefit from the full facilities outlined in your package but you must pay for your membership now to receive your free crashmate, your /scheme level/ membership pack and to fully your activate cover.

You can pay for your membership by the following methods:

• by credit or debit card online (for your security via paypal, but you do not have to join) /link to paypal/;
• from your paypal account /link to paypal/;
• by credit or debit card on the phone - call 0800 066 99 10 and have your temporary membership number ready;
• by cheque: please print off this page and send a cheque (payable to Lawcover) for /fee/ to:
  Lawcover, Shatwell House, Yarlington, Wincanton, BA9 8DL.
• by credit transfer: please call 0800 066 99 10 for instructions