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Organisation:

Contact name:

1st line of address to be insured:

Postcode:

Contact Telephone Number:

Email Address (help):

The type of organisation:

Are you a member of The Association of Community Theatre (ACT)?

How did you hear of Stage Safe Insurance? (help):

Employers Liability Cover Limit:

£ 10,000,000 (standard)

Public & Products Liability Cover Limit required:

Building Cover sum insured (if required):

Building construction:
i.e. built of brick walls and a pitched slate roof. Please provide details of any flat roof areas and % of the overall roof.

Type of Building:

Contents Cover sum insured required:
(fixtures, scenery, sets, costumes, etc)

Bar Stock (if applicable):

Other property sum insured required:

Do you require Abandonment Cover:

  Other:

Do you require Personal Accident cover for members:

If yes, please provide the number of members:

Do you require business interruption cover:

            If yes:

What is the estimated income of the organisation:

Community Interest Management Liability:

Security and fire precautions:
Please give a description of any alarm systems, extra security, extinguisher systems, etc.

Have there been any incidents in the last five years which have or could result in a claim?

Date:

(dd/mm/yyyy)

Value:

Describe circumstances:

Date:

(dd/mm/yyyy)

Value:

Describe circumstances:

Who is your current insurer (help):

When is cover required (help):

(dd/mm/yyyy)

What are you currently paying:

Any further information (help):

Important Note: If information provided is incorrect or incomplete Insurers may not pay your claim. Details you provide may be checked by Insurers against data held elsewhere.

Little Theatre Insurance - Theatre Insurance - Venue Insurance - Studios Insurance - Rehearsal Room Insurance - Performance Lab Insurance - Theatrical Educational Venue Insurance - Stage Safe Theatre and Venue Insurance has the solution for you!

 
 
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