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Fact Find:
(Groups, Bands, Choirs and Orchestras)
Cover available to: Permanent Residents of UK (except Eire) and Overseas Visitors temporarily working in the UK (except Eire)
Applicant Details
1st Applicant
Title:
Mr
Mrs
Miss
Ms.
Other
Forenames:
Surname:
Name of Act/Ltd. Company:
How many members in Band/Group?:
Correspondence Address
Address
House No/Name:
Street:
Town:
City:
County:
Postcode:
Contact Details
Your Contact Details
Daytime Phone:
Home Phone:
Mobile (Optional):
E-mail (Required):
Facsimile (Optional):
Type of Band/Group: (Tick as applicable)
Choir, Orchestra, Quarters (musical or singers)
Brass, Silver, Steel, Jazz, Folk and (small Rock/Pop small pub venues)
Rock/Pop or similar playing festivals, clubs, larger specialist pubs
Cover Required:
Public/Products Liability: (Only tick if required)
£2,000,000
£5,000,000
Employers Liability: (Only tick if required)
£10,000,000
Number of Employees:
All Risks (Insert sums insured if required)
Total Sum Insured
Collections (£):
Equipment (Excluding musical instruments) (£)
Musical Instruments (£):
Maximum value of one article (£):
Cover Required:
United Kingdom (ex Eire)
Worldwide
Overnight Cover. Ungaraged Vehicle?:
Yes
No
General Questions
Have you ever been refused insurance?:
Yes
No
Have you any previous or pending Criminal convictions (Not motoring offences)?:
Yes
No
Have you previously made an insurance claim In respect of the insurances requested above?:
Yes
No
Have you ever been declared bankrupt or have Any County Court Judgements against you or Pending?:
Yes
No
If you have answered “Yes” to any of these questions please provide us with full details:
How did you find Us?
How did you find Us?:
Please Select One
Google Search
Internet Forum
Internet Link
E-mail
Mailout
Magazine Advert
Word of Mouth
Workshop for Schools
Submit your Fact Find
Please note that you are not requesting cover by submitting this Fact Find merely request a premium indication, Our response will follow in due course (Office hours Monday to Friday 9am to 5pm)
