Motorist Plan Form

• To be completed by all subscribers seeking registration as an AutoHost subscriber;
• The questionnaire must be completed in full and be signed;
• All fields on application form MUST be completed by the applicant;
• Applicants will be contacted via email or fax and must therefore submit an email address and fax number;
  failure to comply will result in declining the application;
• It should be noted that AutoHost reserves the right to accept or reject any application in this respect;
• Applicants must comply with all the registration-criteria for registration to be finalized – failure to do so may result in the application being declined.

By submitting this form, you give consent to AutoHost to share your details with our partners for quotation purposes on:

1. Insurance (vehicle and/or premises)
2. Vehicle tracking system
3. Vehicle Finance