Please use this form for a household cover quotation, or
click here for motor
, or
here for travel
. Provide us with details of your requirements and contact information,
and we will be delighted to respond promptly with a quality competitive quote.
Personal
Information
Name
Address
1
Address
2
Telephone
FAX
E-mail
Property Information
Type of property
Detached house
Ground floor apartment
Other apartment
Penthouse
Terraced house
Permanent or holiday
permanent
holiday
Mortgage
no
yes
Size in m
2
Year of Construction
Security
5 lever mortice locks
rejas / metal doors
Alarm system
Connection to police
window locks and security glass
Contents cover reqd
Building cover reqd.
Landslide cover
no
yes
Rebuild cover
no
yes
Individual items valued over €1500
Item 1
Item 2
Item 3
Item 4
Item 5
Jewellery - please detail individual items valued over €500
Item 1
Item 2
Item 3
Item 4
Item 5
Additional Info
Please use this box to add any relevant additional information.
