Commercial Insurance

Guest House Quotation Form

Please complete the enquiry form below to receive a quotation.

Please try to fully complete this form as any omissions may affect the quotation given. Upon completion please press the "Submit Details" button to proceed remembering to include your preferred method of contact, email, fax or telephone.

We aim to provide a fast response to your enquiry and will endeavour to acknowledge receipt of your enquiry the same day.

Before completing the form please read the Terms of Business. If you have any queries please contact us.

Title Please Select... Mr Mrs Miss Ms Dr Prof First Name Surname Address Post Code Daytime Telephone Number Evening Telephone Number Fax Number E-mail Address Renewal Date Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month January February March April May June July August September October November December Year 2006 2007 2008 2009 2010 Best Quote to Date Current Insurer Please state your Occupation Is the insurance to be in a Company Name? If yes, please state name Please Select... Yes No The Property to be Insured: Address Post Code Year Built Please Select... Pre 1800 Pre 1900 1901 - 1930 1931 - 1970 1971 - 1990 1991 - Present Do you own the property? If no please give details of ownership Please Select... Yes No Do you let them furnished or unfurnished? Please Select... Furnished Unfurnished Is any of the property used for business? Please Select... Yes No Please select type of property Please Select... Detached Semi-Detached Terraced Detached Bungalow Semi-Detached Bungalow Purpose Built Flat Ground Floor Flat Flat Conversion Maisonette Is the property of standard construction? (Standard construction means walls built of brick or concrete and roofed with tiles or slate). If no please give details. Please Select... Yes No Tenancy Agreement: Please confirm the category of tenants Please Select... Professional Employed Students Unemployed DSS Asylum Seekers Unoccupied Buildings: Buildings sum insured Is accidental damage required? Please Select... Yes No Is landlord's contents cover required? If yes please state sum insured Please Select... Yes No Previous Insurance History: Have you made any claims in the last five years or had any incident that may have resulted in a claim, loss or damage? If yes please provide full details including date, costs and circumstances. Please Select... Yes No Have you ever been refused insurance or had any special terms applied? Please Select... Yes No Have you been convicted of or received a police caution for any offence other than driving offences? Please Select... Yes No Please use the space provided below to supply us with any further relevant information. Preferred Method Of Contact Please Select... Telephone Fax Email Post Any Enquiry Source Please Select... Yellow Pages Thomson Local The Sun Google Seek.net Van Finder Yell.com Find Search Engine Recommendation Other

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