QUOTATION REQUEST LAA MEMBER INSURANCE
APPLICANT/ INSURED
"*" indicates that answer is compulsory.
*1. POLICYHOLDER (aircraft owner and/or operator) 
First names* : 
Surname* : 
Post code* : 
Date of birth* : 
Email* : 
2. Phone :
3. PLEASE INDICATE YOUR LAA MEMBERSHIP NUMBER :
(the quotation you will be offered is subject to LAA memberships. If you are not a member yet, you would have to join the LAA prior to policy inception to benefit from the LAA Member exclusive offer).
4. Are you a Politically Exposed Person (PEP) ?
(A politically exposed person (PEP) is an individual with a high profile political role, or who has been entrusted with a prominent public function)
*5. ARE YOU A MEMBER OF A SYNDICATE OF AIRCRAFT OWNERS ?  
If YES, what is your role ?
*6. HOW MANY AIRCRAFT DO YOU OWN ?