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About You.

Your Name

Your Address

Contact Details

Renewal Date

About the business.

Business Name

Type of business?

You selected other, please answer below

Years Established

Do you provide a take away service?

Select a percentage of takeaway service

Number of seats

Hygiene Rating

Cover Required.

Stock (£)

Wines & Spirits (£)

Frozen Food (£)

Trade Contents (£)

Do you have an alarm fitted?

Please select which type

Is your alarm maintained under an annual contract

Do you have shutters to your entire shop front?

Previous Claims?

Claims in past 5 years?

Please give details

When did this occur?

What were the costs of claim

70-461  
400-051  
350-060  
PMP  
300-101  
70-177  ,
c2010-652  ,
300-135  
PEGACPBA71V1  
JN0-102  
810-403  
1Z0-803  ,
101-400  
PEGACPBA71V1  
1Z0-060  ,
9A0-385  ,
102-400  
70-347  
200-120  ,
640-692  ,
500-260  ,
SY0-401  ,
OG0-093  
300-115  ,
400-101  ,
EX300  
C_TFIN52_66  ,
CCA-500  ,
352-001  
ICBB  ,
200-125  ,
1Z0-804  
300-209  
500-260  ,
70-270  ,
350-029  
ITILFND  
300-115  ,
300-115  
1z0-808  
000-017  ,
70-486  ,
9L0-066