Competitive
Quotations for HOLIDAY HOME INSURANCE
Name
Mr/MrsMiss
Address :
Post Code:
email:
Tel:
Age or date of Birth :
Number
o f Claim free years or date of last claim:
Enter
claim details below
Location of Holiday
Home: England
Scotland Wales Eire Canary Islands France
Greece Ibiza Italy Majorca Malta Madeira
Spain Portugal Southern Cyprus
If Holiday
Home is in Spain is it situated in the Costa Del Sol Region?
Yes No
Post
Code of Holiday Home UK :
Type of Holiday Home :
Thatched Cottage Holiday Chalet Standard Dwelling
Timber Built Static Caravan Touring Caravan
If Chalet is it
situated on a supervised site : N/A
Yes No
Will
the property be let to holidaymakers:
Yes No
Will
the property be left unoccupied for long periods of time
Yes No
Maximum
period of unoccupancy Up to
30 days From 30 to 60 days More than 60 days at a time
Contruction
of Walls :
Construction of
Roof:
If felt or Bitumen when last renewed
Building Value or
Sum Insured £
Contents
Sum Insured: £
Premium Payment
Method: Annually
Monthly
Please
submit this information and an premium indication will be
e-mailed.
No cover is in force until formally agreed.
Please also check below concerning minimum levels of security.
Thank
you
Cover
is subject to a fully completed proposal form.
Underwriting
Agents reserve the right to impose additional terms on the receipt of any application.
These may take the form of increased premiums or increased excess limits on selected
sections of the policy or both.