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The completion of this form in no way binds the Proposer to purchase insurance, nor does it bind Underwriters to give insurance.

Any information given will only be passed to Underwriters for the purpose of quotation and will be treated as confidential.



Title
Surname
First Names
Email Address
Telephone Number:
Full Collection Address
Full Desitnation Address
Articles No of Items Value (£)
Living Room
Settees
Armchairs
Display Cabinet
TV Cabinet
Bookcase
Table(s)
Stool/Pouffe
Piano
Other Musical Instruments
     
Dining Room    
Table(s)
Chairs
Sideboard/Dresser
Heated Food Cabinet
Table Linen
Silver and Cutlery
     
Kitchen    
Table
Stools/Chairs
Oven/Hob
Fridge/Freezers
Microwave
Dishwasher
Tumble Dryer
Washing Machine
Small Electrical Items
Pots & Pans
Utensils
Cutlery
Bowls/Trays etc
Bin
Ironing Board/Iron
     
Bathroom    
Toilet Articles
Laundry Basket
Bin
Cabinet
Towels etc
     
Soft Furnishings    
Curtains
Carpets
Rugs
Loose Cushions
     
Bedrooms    
Double Beds
Single Beds
Wardrobes
Dressing Tables
Chest of Drawers
Bedside Tables
Headboard
Desks
Chairs/Stools
Duvets and Covers
Other Bedding
Bedroom Electrical
     
Clothing    
Mens    
Suits
Jackets
Trousers
Coats
Shirts
Sweaters
Shoes
Other Items
Ladies    
Coats
Jackets
Suits
Blouses/Tops
Skirts
Trousers
Sweaters
Nightwear
Shoes/Handbags
Other Items
Childrens    
Indoor Clothes
Outdoor Clothes
Babywear
Shoes
     
Outdoor Items    
Power Tools
Garden Tools
Other Tools
Lawn Mower
Garden Furniture
Bicycle(s)
Ladders
Workbench

Garden Ornaments

Barbeque
Camping Equipment
     
Home Entertainment    
Large TV's
Small TVs
Videos
DVD Players
Hi-fi Equipment
Personal Computer
Printer
Other Computer Equip
Records
Compact Discs
DVDs
Audio Cassettes
Video Cassettes
Cameras
Video Camera
     
Miscellaneous    
Pictures/Paintings
Lamps (exc shades)
Lamp Shades
Mirrors
Sewing Machine
Binoculars
Toys/Games
Sports Equipment
Sports Clothing
Xmas Decorations
Suitcases
Vacuum Cleaner
     
Fragile Items    
China - Dinner Service
Tea/Coffee Set
Glass - Cut Crystal
Ordinary Glassware
Kitchen China/Glass
Clocks
Barometer
Chandeliers
Vases,Bowls
Ornaments
     


Important Note:
Cover under this insurance is on a "New for Old" basis as set out within the terms and conditions. You should insure your goods for their full value - failure to do so will result in any claim being reduced proportionately.

I/we realise that any ite, not declared for insurance will not be insured.

I/we understand that no insurance will be in force until a policy is issued.

Please tick box to accept

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