Request a quotation

Full Name *

Company

Address *

Postcode *

Tel *

Fax

Email *

Description of collection to be insured

Market value

Has the collection been professionally valued? Please give details

If not how have you assessed the value? Please give details

If not how have you assessed the value? Please give details

Is your residence...
..Self-contained and exclusively under your control
..Built of brick, stone or concrete and roofed with slates, tiles, metal, asbestos or concrete?

If the answers above are NO, please give details of residence

Please confirm location given is your main residence, which is not left unattended for extended periods other than holidays etc.

Will the collection be kept elsewhere? Please give details

Please specify security measures undertaken to safeguard your collection

Have you ever sustained any loss from any of the risks now to be insured against? Please give details including name of Insurers

Is you collection presently insured? If so by whom?

Are you a member of any relevant society or association. Please give details

Have you ever had your insurance...
..Acceptance declined?
..Renewal refused?
..Cancelled?
..Renewal offered only with revised terms/premium?

Amount of cover required...
In Bank

In Private Residence Only

Anywhere in country of residence

If more than one person is interested in the collection, the names of all parties and the nature of the respective interests should be stated