Quote4Insurance
Musical Instrument Quote
Section 1 - Personal Details
Title
Mr.
Mrs.
Miss
Dr.
Rev.
First Names
Surname
Address
Town
City
County
Postcode
Telephone
Email
Occupation
Section 2 - Instrument Details
Are all the instruments in good condition
Yes
No
-- Select --
Are they kept in suitable cases
Yes
No
-- Select --
If Not, give details
State with with type of orchestra, band, ensemble or other group do you play and the usual venue
Are you likely to reside outside the UK for more than three consecutive months in one year
Yes
No
-- Select --
If Yes, give details
Have You
In respect of any risk to which this proposal applies suffered and loss or damage in the last five years
Yes
No
-- Select --
Had any special terms imposed by any insurer or had insurance cancelled, declined or renewal refused in respect of this or any household insurance
Yes
No
-- Select --
Ever been convicted of arson or any criminal offence ( other than motoring offences) or received a police caution or is any prosecution pending
Yes
No
-- Select --
Previously held any insurance of this type
Yes
No
-- Select --
If Yes From above, give details
Section 3 - Property to be Insured
Description of instrument and maker's name
Identification Number
Date of Purchase
Sum Insured
Select the territorial limit required
United Kingdom and Europe
Anywhere in the World
-- Select Territorial --
Select the capacity in which you will use the property insured
Amateur
Semi Professiona
Professional
-- Select Capacity Of Use --
How did you hear of
Quote4insurance
?
e.g. Name of magazine/newspaper you saw our advert in, T.V., radio, Teletext,diverted from other site = please name site / search engine, internet advert etc.