Your Details

You MUST hold a valid Cycleplan insurance policy

First Name


Your Email

Policy Number


Your Friend's Details

Simply tell us the email addresses of the friends you’d like to refer by adding them in the box below. If you want to remove any friends simply highlight their email address and select Remove.

We’ll get in touch with your friends directly and once they take out a policy, you’ll be entitled to your £25 voucher. Vouchers will be added to the members area within 28 days. Please note, vouchers will not be posted out.

Friend's Email

Your Friends