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Instant Cover - All laptop/computers To protect your valuable laptop/computer do this now: Complete the simple short form below with your personal and laptop/computer details. Make sure you have the serial number to hand. Purchase online - An administration fee equivalent to 3 months insurance will be purchased now, by card, so you are protected immediately. Your Direct Debit will then start paying from month 4, on or around the 14th of each month. There is no 12 month contract. You are covered as soon as the online payment goes through. NOTE: The address you give below MUST be the address of the registered card holder. This is due to anti-fraud measures.

First Name Last Name Mobile Phone Number Alternative Phone Number Device Make --- Select --- Acer Advent AlienWare Apple ASUS Dell Fujitsu HP Compaq IBM Lenovo Macintosh NEC OCQ Panasonic Philips Rock Rugged Notebooks Samsung Sony Toshiba Twinhead Vertu Zenith Device Model Equipment Serial number Address 1 Address 2 Town Postcode Email Purchase Date 01020304050607080910111213141516171819202122232425262728293031 JanFebMarAprMayJunJulAugSepOctNovDec 200620072008 Policy Cover Options Executive Cover - Covers up to £1000. Premium £5 per month inc 5% IPT Gold Cover - Covers up to £1250. Premium £6.25 per month inc 5% IPT Premiere Cover - Covers up to £1500. Premium £7.50 per month inc 5% IPT Platinum Cover - Covers up to £2500. Premium £10 per month inc 5% IPT   Direct Debit Details Name(s) of Account Holder(s) Account number Branch sort code I agree that this insurance meets my demands and needs. Click for info Yes           No Talk Me Through It Do you want 1 Months FREE Technical Help & Support for you and ANYONE in your household for almost ANY Electrical appliance in your house? Full Details >> Choose << Yes No Make sure your equipment ... Is less than 6 months old, or 3 months for laptops Was purchased in the UK, the Isle of Man or The Channel Islands Has a valid proof of purchase (not from an online auction) NOTE: After your order transaction is successful, you will receive paperwork and Direct Debit confirmation through the post, usually 3-4 weeks after your order. We cannot insure equipment older than 6 months old (or laptops/computers older than 3 months). Secure website 2U Insurance Terms & Conditions