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If you would like us to provide a quotation for your existing holiday home or are in the process of buying, please telephone us on 01934 424 040 or complete the form below and click on the submit button.
   
Name:
   
Address in UK  
Address:
 
 
Town/City:
County:
Postcode:
   
Daytime Telephone No:
Home Telephone No:
Email:
   
Address of Property to be Insured:
Address:
 
 
Town/City:
Postcode:
Country:
   
Property Use:
Is the property to be Insured of standard construction:
Is the property in a good state of repair:
   
Value of Buildings: (Rebuild Cost)
Value of Contents:
 
Does the property have a private Swimming pool:     Yes No     
Claims history on any properties during the last six years: 
How frequently will the property be checked when not occupied: 
Renewal Date or Date Cover Required:  
 
AGENTS REF
(if Applicable)  
   
Comments or Enquiries:
 
 
     
     
     
     
     
     
 
 
   
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