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NAME:
POSTCODE:
TELEPHONE NO:
E:MAIL:
POLICY DUE:
BUILDINGS COST TO REBUILD AS NEW:
YEAR BUILT:
DO YOU REQUIRE SUBSIDENCE COVER:
YES
NO
ANNUAL RENT:
TERM OF LEASE (YRS):
STOCK, FULL DESCRIPTION, COST VALUE:
FIXTURE/FITTINGS(£):
SHOP FRONT INCLUDING GLASS(£):
NET TAKINGS:
COMPUTERS:
FROZEN FOOD-
NUMBER OF CABINETS:
PRICE PER CABINET(£):
GOODS IN TRANSIT-
NUMBER OF VEHICLES:
PRICE PER VEHICLE(£):
ANY WORK AWAY FROM PREMISES:
NO
YES - FILL IN DETAILS BELOW
PLEASE ENTER FULL DETAILS HERE:
HAIDRESSERS-
NUMBER OF EMPLOYEES:
IS YOUR PREMISES LICENCED IN ANY WAY:
NO
YES
TERRORISM WILL BE COVERED UP TO £100,000 ANY ONE INCIDENT:
YES
NO
IS THERE AN ALARM ON THE PREMISES:
YES
NO
IS IT BELLS ONLY:
YES
NO
CENTRAL STATION OR MONITORING:
STATION
MONITORING
RED CARE:
YES
NO
NACOSS FITTED AND MAINTAINED:
YES
NO
Terms and Conditions
