Tell us about the car

1

Car Details


Year
Make
Transmission
Fuel Type
Model
Type
Is the car used for private and commuting purposes only?
(i.e. not commercial business use)
Does the car have less than 250,000 kilometers on the odometer?

2

Address Where Vehicle Is Parked At Night


Postcode
Suburb
Street Address
Street
Street No.
Unit/Shop/Level

Other important details

1

Roadside Assistance Terms & Conditions


Roadside Assistance will commence 48 hours after the purchase of the Roadside Assistance policy. Service and benefits are not available for any incident, which occurred prior to joining or during the 48 hours waiting period.

Before proceeding, you agree you have read the Privacy Notice and to the Roadside Assistance Terms and Conditions.
Print My Quote
Update My Quote Details
Apply By Phone
Arrange For Us To Call You
Roadside Assistance
Quote Number
Annual Lump Sum
No Joining Fee
Roadside Assistance Benefits
Our Roadside Assistance service ensures that you won't be left stranded in the event of a breakdown. For less than $1.60 a week and no joining fee, you will have access to an extensive national roadside assistance fleet.

The service offers you peace of mind by offering the following benefits:
Applying by phone could not be easier.

Simply call Auto & General Services on and our friendly Contact Centre team will help you complete your application.

To save you time please remember to tell them your quote reference number at the start of the call.



Our call centre is open
Please enter your details below and click on the 'Call Me' button.

Or simply call us on with your reference number .

Our call centre is open


Your name
Your contact phone number
Your preferred day to call
Your preferred call time

Please Review

1

Roadside Assistance Terms & Conditions


Roadside Assistance will commence 48 hours after the purchase of the Roadside Assistance policy. Service and benefits are not available for any incident, which occurred prior to joining or during the 48 hours waiting period.

Before proceeding, you agree you have read the Privacy Notice and to the Roadside Assistance Terms and Conditions.

2

Privacy


This policy will be administered by Auto & General Services (AGS) who act as an agent for Ultra Tune Australia (Ultra Tune). AGS will provide all your policy administration on Ultra Tune's behalf.

We will provide your personal information to Ultra Tune so they can provide their contracted services to you. Information about persons named in the policy must be given with their consent. If you do not provide this information, Ultra Tune may not be able to provide service. We may also use your information to provide you with updates of our products and services, and the products and services of our affiliates, unless you tell us otherwise. Information may also be provided to our affiliated companies to enable them to offer products and services directly to you. You can check the information held about you at any time. To read our Privacy Policy click here.

Unacceptable Quote

Unfortunately some of the details you have entered fall outside the Roadside Assistance acceptability criteria of:

Not available to residents in the Northern Territory,
Vehicle age must be less than 16 years old,
Vehicle odometer reading must be less than 250,000 kilometres when purchasing Roadside Assistance,
The vehicle must not be used for commercial business purposes.

Call Centre

Your quote has been transferred through to our call centre.

To continue with your application, please call with your reference number .

1

Registration Details


Registration Number
2

Policy Holder


Title
Firstname
Surname
Date of Birth
Example: 01/06/1975
Gender

3

Postal Address


Postcode
Suburb
Street Address
Street
Street No. or PO Box
Unit/Shop/Level

4

Contact Details


Please enter at least one contact telephone number
Home
Work
Other
Type:
Email Address for Policy Documents & Policy Correspondence
Please keep me informed via email of news and other offers

We will not use your email address for any other purpose unless you give us permission. If you wish to access your personal information or have any other queries about how we protect your privacy, please contact privacyquery@autogeneral.com.au or see our privacy policy here
5

Privacy


This policy will be administered by Auto & General Services (AGS) who act as an agent for Ultra Tune Australia (Ultra Tune). AGS will provide all your policy administration on Ultra Tune's behalf.

We will provide your personal information to Ultra Tune so they can provide their contracted services to you. Information about persons named in the policy must be given with their consent. If you do not provide this information, Ultra Tune may not be able to provide service. We may also use your information to provide you with updates of our products and services, and the products and services of our affiliates, unless you tell us otherwise. Information may also be provided to our affiliated companies to enable them to offer products and services directly to you. You can check the information held about you at any time. To read our Privacy Policy click here.

1

Online Payment Options


For your convenience and security we offer you two different ways to pay online. You can pay with either a Visa or Mastercard credit card or alternatively you can choose to pay via online direct debit from your bank, credit union or building society account.

Simply select your preferred payment method from the first drop down option in the section below, and complete the rest of the information requested to finalise the purchase of your Roadside Assistance Product.

To ensure continuing protection you will normally be sent a renewal offer at least 14 days prior to the renewal date of this policy. If you don't want to accept the offer, please contact the number on the renewal offer to advise this. Should you wish to take up the offer, you won't have to do anything and the renewal premium will be deducted from your account.

2

Payment Information - Credit Card/Direct Debit Request


Preferred payment method
Name on card
Credit card type
Credit card number
Expiry date
/
Account name
BSB
Bank
Branch
Account number
By selecting this box I acknowledge I have read and agree to the terms and conditions outlined in the Direct Debit Request Service Agreement.
Are you registered for GST?
Percentage of premium entitled to an input tax credit?

3

Your Internet Security


To protect your confidential data we have invested in an SSL certificate from VeriSign, the world leader in Internet data security. Our website, online quote and online application process is also scanned by McAfee Secure.

This VeriSign certificate confirms this web site has been authenticated and verified and it enables sensitive data to be safely encrypted.

Your Policy Number

1

Welcome


Thank you Mr Citizen for choosing Roadside Assistance and welcome to Auto & General Services.
Important Numbers
Your Roadside Assistance policy number is

Roadside Assistance 24 Hour Help Line

If we have a mobile number on file for you, you will receive an SMS containing the Roadside Assistance number. We recommend you save these details in case of an emergency.

Your Roadside Assistance policy documents will be sent to you in the coming days. When you receive the policy, it is important that you check all the details and let Auto & General Services know if there is anything incorrect.

For all future enquiries and changes regarding your policy, please contact our Client Services Department on .

*Full Terms and Conditions available.