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Subject

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Quotation

If you would like a quotation, please fill in the form below and send it to us. If you don't know all the information, please just fill in what you can at this time. We look forward to hearing from you.

Your Details

Company Name
Risk Address
Postcode
Correspondence Address
Postcode
Contact Name
Contact Telephone
Contact Fax
Email Address

Property Details

Number of Flats
Construction

Purpose BuiltConverted

Floors

TimberConcrete

Number of Floors
Year Built
Year Converted (if applicable)
Sum Insured

Is the Property more than 70% owner occupied?

YesNo

Is it a Listed Building

YesNo

Renewal Date

Current Insurer

(Please tell us your current insurer so we do not waste their time asking them to quote on something they already insure.)

Current Premium

(It is helpful if you tell us your current premium. We can then ascertain the likelihood of being able to improve on it, or advise you that you have already got an excellent price.)

Claims

If you have had any claims in the last three years, please tell us the dates, amounts and what the claims were for.

Terrorism cover required

YesNo

Directors & Officers cover required

YesNo

Lifts & boilers cover required

YesNo