Insurance Quote from Photoshield

Trading Name / Title:

Title:

Surname:

Firstname:

Date of Birth:

Addr1:

Addr2:

Addr3:

Addr4:

Postcode:

Is the above postal address your home or studio address?:

Telephone Number:

Email Address:

Website Address:

Have you suffered any loss or damage in the last 5 years?:

Current Insurer:

Renewal Date (if applicable):

Photographic Work Status - Are You:

Trading Status - Are You:

Do you need Public Liability Insurance?:

Do you need Employer Liability Insurance:

Do you need Professional Indemnity Insurance?:

What is your main Photographic Discipline (weddings/landscape/commercial etc.):

What is your annual turnover approximately?:

What is the full replacement value of your total photographic equipment (exclusive of laptops, computers and other kit)':

Of the above total, how much would be taken on location if not all of it?:

Value of printers taken on location:

Value of any other kit (monitors, stands etc.) taken on location:

Do you require cover for a laptop under this policy, if so what is it's value?:

What is the value of any other computers, printers and other electronic equipment (include the replacement value of software) if they are to be covered?:

Is there anything else you need to insure?:

Other Items to Insure: