* required field
Full Name *
Company
Address *
Postcode *
Tel *
Fax
Email *
Type and description of item(s) to be insured
Maker's Serial number and/or any other marks
Maker's model style number
Instrument value
Quantity and value of any perforated music rolls/books/discs
Other accessories (e.g. cart) and value
Description and value of any associated generator
Is/are the aforementioned article(s) stored in a secure compound/garage? Please give details.
Is the storage property alarmed? Please give details.
Is the alarm checked regularly?
Previous insurance details (if any)
Details of past claims (if any)
If annual number of round trips exceeds 40 please state number
If transportation is likely outside E.C. please give details
Date insurance to commence
