EmailMe Form - House Insurance Quotation (TIS235)

Quotation required for ;- *

Buildings Only

Contents Only

Buildings & Contents

Dangerous Dog Public Liability (+23€)

Name *

Address *

Post Code

NIE Number *

Tel. No. *

Mobile No. *

E-mail Address *

Other Liberty Policy Number

Extra discount available if you have another policy with Liberty Seguros S. A.

Type of Property *

Year of Construction : *

Size of property ( in sq meters ) *

This is not the size of your plot.

Size of other buildings (e.g. patios, terraces, separate garage or garage space, traseros )

Use of Property *

Maximum days property is left unoccupied or unchecked. *

Security Measures *

Do you have a safe? (>100kg or have 2 keys/2 combinations or 1 of each) *

No

Yes

Amount of contents insurance required.

Details of objects of value i.e. Jewellery or works of art (only for items worth more than 2000€)

Key Holding Service *

YES

NO

Spare set of keys are lodged with us and only released to authorised personel e.g. for emergencies or claims when you cannot fly over. 50€ per annum.

Name of Bank (named beneficiary if you have a mortgage)

Mortgage Acct Number

20 digit Bank Account number - Direct Debits earn 10% discount

Comments / Queries

Acceptance of Terms & Conditions relating to Data Protection. *

Yes

I hereby accept the Terms & Conditions in respect of Data Protection in order that my/our personal details and this message can be submitted. In submitting this information and any personal details you hereby authorise Tenerife Insurance Services S.L.U. ( hereafter called "TIS") to use any and all means of communication to contact you. To revoke your consent you must communicate this to TIS in writing at our registered address.