Name of Company      

Address of Company

Post Code                     

Nature of business     Sole Trader Partnership Limited Company Other      

Trade or Occupation 

How many years have you operated from your current address?  0 1 2 3 More than 3

Estimated Annual Turnover 

Trade Contents
Fixtures and fittings *          Saddlery and Tack        
Animal Feed                          Clothing                
All other stock                        Computers             
Tenants Improvements          Shop fronts             

Fixed Glass - Required? 
External and Internal Fixed Glass      Plate Glass Shop Front 
(excluding plate glass)

Loss of Money  -  Required? 

Cover away from your premises -  Required?      
Do you attend shows and/or events? Yes No

Value of stock to be covered at shows and / or events 

Number of persons involved in saddle fitting

Business Interruption   -  Required?   
The profit you would lose if unable to trade for up to 24 months

Employer's / Public / Products Liability
Employer's Liability £10,000,000               Estimated Wage roll for - Saddle fitting          
Public / Products Liability £2,000,000                                                Other Manual work 
                                                                                                              Clerical Work          

Buildings  -  Required? 
Rebuilding Cost                
Loss of Rent (12 months)   
Are your premises protected by a monitored alarm system?  Yes No

Has your business been involved in any incidents in the last 5 years which did or could have given rise to a claim of a type which this insurance is intended to cover?           Yes No

Date from which you need cover to start (dd/mm/yyyy)    

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Revised: June 19, 2008 .