Market Stalls and Organisers Quick Quote - ASR Underwriting Agencies

Broker Details

Tick this box if you are an insurance broker

yes I am an insurance broker

Your Name

Broker Name

Branch / Location

Your Email

Your Phone

Insured's Details

Full Name of Insured

Situation
(Address, State and Postcode)

Inception Date

Limit Required

$5,000,000
$10,000,000
$20,000,000

Is the Insured a Market Stall?

yes
no

If yes, please advise the number of stalls

Is the Insured a Market Organiser?

yes no

Is cover required for a single market or annually?

Please advise details of cover requirements

Number of Years in Business

Number of Years Experience

Estimated Annual Turnover

Occupation Details
(please provide a full description of your market activities/items sold)

Show percentage of work performed in each state

NSW %

ACT %

VIC %

TAS %

QLD %

WA %

SA %

NT %

Please complete if you are a Market Organiser

Estimated number of markets

Estimated number of stalls

Estimated attendance

Do you ensure all Stall Holders carry their own insurance?

yes
no

Is cover required under this policy for the Stall Holders?

yes
no

Estimated income

Ever been declined insurance?

yes
no
Comments

PLEASE NOTE This is for the use of NON BINDING INDICATIVE QUOTATION PURPOSES ONLY and is subject to a satisfactorily completed Proposal Form Prior to Binding

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Brisbane

Beijing

Zurich

London

New York

Market Liability Quick Quote

Broker Details

Insured's Details

Please complete if you are a Market Organiser

Brisbane

Beijing

Zurich

London

New York

Market Liability Quick Quote

Broker Details

Insured's Details

Please complete if you are a Market Organiser

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