EmailMe Form - Shop Insurance

Company Name *
Business Description/Trade *
(Please provide a brief description of what your business does.)
What was your Turnover in the last 12 months? *
£ Pounds
(We just need to know the total income for your business for the last 12 months (including VAT, if appropriate) – If you haven’t been trading long or income has fluctuated recently, you can just give us an estimate)
Number Of Employees? *
(Please enter how many people are employed by your company, excluding yourself. Please include any full or part-time employees, company partners or directors)
Approx. Wage Roll? *
£ Pounds
Do You Require Cover For Stock? *
Yes
No
What Sum Insured Required? *
£ Pounds
(Your own materials and/or Your customers Goods)
Do You Require Cover For Contents? *
Yes
No
What Sum Insured Required? *
£ Pounds
Do You Require Cover For Buildings? *
Yes
No
What Sum Insured Required? *
£ Pounds
Contact Details.
Please give your contact details so we cant contact you regarding any quote generated.
Name *
First Last
Email *
Phone *