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Please fill in the form, then press the SUBMIT button. One of our experienced sales staff will contact you to discuss your requirements and to confirm your quotation.

Name

Address
 

Town/City

County

Post code

Telephone

Email

Type of property:

Detached bungalow
Detached house
Terraced
Flat
Semi-detached bungalow
Semi detached house






Year property built

Number of bedrooms

Alarm fitted

Yes No

Property

owned rented

Occupied during daytime Yes No

Proposer's date of birth

Co-proposer's date of birth

Proposer's occupation

Co-proposer's occupation

Buildings sum insured

Type of cover:     

Accidental damage standard

Contents sum insured

Personal possessions

Yes No

Unspecified personal possessions sum insured

Specified personal possessions over £1000
 
 
 
 
 

Current insurers

Renewal date

Number of years no claims discount

Claims made within last five years
 
 
 
 

Are you in a neighbourhood watch area

Yes No

Number of smoke alarms fitted


J. Fenty Insurance Services, 29 Kirk Brae, Fraserburgh AB43 9BY

Tel: 01346 518081 - Fax: 01346 517939 e-mail: info@jfenty.co.uk