Bridalsure/Formalsure Quote Fill in the quote form, e-mail it to us and we will return a provisional quote free of charge. 1. Name of Proposer including Trading name (if any) 2. Business Address 3. Postcode 4. Contact name 5. Telephone number 6. E-mail address General Information 7. Insurance renewal date (if applicable) Month: January February March April May June July August September October November December N/A Year: 2000 2001 2002 2003 2004 2005 N/A 8. How long has the business been trading? Years: less than 1 year 1 year 2 years 3 years 4 years 5 or more years 9. Has the business had any accidents, losses or claims, whether insured or not? Yes No If 'Yes', give details 10. Do the Premises have an Intruder Alarm fitted? Yes No If 'Yes', give details including name of installer and method of signalling (if any) Signalling: Bells Only Digital Communicator Redcare Dualcom 11. Are all external doors fitted with 5 lever mortice deadlocks? Yes No If 'No', give details 12. Are all opening accessible windows secure? Yes No If 'No', give details Property to be insured Sums Insured 13. Building including landlord's fixtures and fittings, small outside buildings and annexes £ 14. Contents therein belonging to you or for which you are responsible but excluding landlord's fixtures and fittings, stock and materials £ 15. Stock and materials in trade in respect of wedding attire belonging to you or for which you are responsible £ 16. Any other stock (describe below) £ 17. Tenant's Improvements and Decorations £ 18. Is any other business carried out from these premises? Yes No If 'Yes', give details Comments 19. Comments The quote will be sent to: bridal@hine.co.uk