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restaurants online application

Proposer details
Status of Proposer*
Proposer Name *
Trading Name
Contact details
Salutation*
Contact Name *
Email *
Address of Premises to be Insured*
Town/City*
Post code* eg. N21 2EP
Correspondence Address same as premises address ?* Yes No  
Address*
Town/City*
Post code* eg. N21 2EP
Telephone number*
Date established*
/
Type of business*
Restaurant Licensed
Restaurant Unlicensed
Other
 
Please give full details
 
Are you the sole occupant(s) of the premises in which your business is situated?* Yes No  
Please give full details
 
Are your premises entirely self-contained with their own means of access?* Yes No  
Please give full details
 

Your quote ref:
IPS001/0000220280098/2018/000

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