Exhibitors Quotation
Wise Insurance Services Limited
168 Croydon Road
Beckenham
Kent
BR3 4DE
020 8663 3939
PROPOSAL FORM
Title:
Please select
Mr
Mrs
Miss
Dr
Rev
First name:
Surname:
Address:
Post code:
Telephone:
Email:
Fax:
Venue name:
Venue address:
Post code:
Name of exhibition:
Type of exhibition:
Venue occupation from:
Venue occupation to:
Open dates from:
Open dates to:
Cover start date:
Public liability cover:
Please select
£1 million
£2 million
£5 million
Event property cover:
Please select
£2000
£4000
£6000
£8000
£10000
Cancellation cover:
Please select
£2000
£4000
£6000
£8000
£10000
GENERAL QUESTIONS
YES
NO
1.
Have you participated in exhibitions in the past?
If YES, please confirm the number and for how long you have been participating in such exhibitions:
2.a)
Is the event going to be staged over a number of days?
2.b)
If YES to 2a, has 24 hour security of the site been arranged?
3.
Have you or any member of your family normally residing with you or any Owner, Partner or Director of the bussiness:
a)
Had any insurance declined or cancelled or special terms imposed?
b)
Sustained any loss or damage or liability during the last 5 years whether insured or not?
c)
Ever been convicted of or charged but not yet tried for an offence other than a driving offence?
If the answer to any of the above is YES please supply details:
4.
If event property is to be insured, please provide accurate breakdown of property and individual values.