* All the information I have given to (www.motor-brokerage.com) is TRUE to the best of my knowledge.

* I AUTHORISE www.motor-brokerage.com to search on my behalf for motor insurance quotations.

* I ACCEPT that there is only one standard charge of £50.00 payable to www.motor-brokerage.com for accepted motor insurance policies.

* After an insurance quotation is accepted, I will deal DIRECTLY with the insurance company.

* I am between the age of 17 and 70.