Insurance not due yet?

If your Motor, Home or Business insurance is not yet due for renewal and you would like us to contact you nearer this date, please complete the form below and we will call you to discuss an insurance quote.

* = this information is required in order for us to process your request

Your personal details Title* First name* Surname* Telephone (day)* Telephone (evening) Telephone (mobile) Email address

About your insurance Insurance required* Renewal month*

What is the best time to contact you?* Between and on

Reference number (if applicable) Number

Are you an existing Norwich and Peterborough customer?* Yes No

Keeping in contact with you

Norwich and Peterborough Building Society and its group companies (the N&P Group) take your privacy very seriously and we will never pass your details to third parties without your express consent. We would like to contact you with details of the N&P Group's products and services which may help to improve your financial situation.

Please tick the box if you do not wish to receive this by post.

If you would like to receive details of the N&P Group's products and services, please tick the relevant boxes. Telephone Email

By completing and returning this form, you will be indicating your consent for Norwich and Peterborough Insurance Brokers to contact you prior to your insurance renewal date to provide you with a quote and your consent to receiving information from the N&P Group about other products and services unless you have ticked the relevant boxes above.

The information that you provide will be sent via e-mail to the Society. E-mail is not secure and it may be possible for other people to see the information that you are sending.