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Special Events Quote Form

 
Special Event Insurance Quote
We would like to provide you with a free, no-obligation special event insurance quote. Please provide as much information possible for the most accurate quote. This information will be kept confidential and will be used for quote purposes only.

General Information
Business/Company Name:
The entity to be insured is a:
Contact Name:
Address:
City:   State:   Zip:
Phone: /   Fax: /
Email Address:

Event Date / Location(s)
Date(s) of your event:
Event Location (Address):
City:   State:   Zip:
Will there be other locations?: Yes   No
(If "yes", list additional locations in comments section below.)

Event Information
How many people will attend event?:
Will admission be charged?: Yes   No
If Yes, how much per person?: $
Charges other than admission?: Yes   No
If "yes", How Much for:
Food:
Drink:
Merchandise:
$
$
$
Estimated total gross income
from all event-related charges: 		$
Will alcohol be served?: Yes   No
If "yes", served by: Your Employees     Volunteers     Other
Will Security Personnel be Present?: Yes   No
If "yes" will they be: Your Employees     Volunteers     Security Firm
Will you have fireworks? Yes   No
Will there be games or rides?: Yes   No
If "yes", what kind:
Please describe any entertainment, special exhibitions, organized sporting events, or competition that will take place at event:
Will transportation
or lodging be provided?: 		Yes   No
Are you required to name additional insureds on this insurance?: Yes   No

Additional Comments
Please give any additional comments you feel appropriate for this quotation. If you have
additional information where there was not enough fields above, such as additional event location addresses, etc..., please enter them here.


Please click on the "Submit Quote" button to send your quote request.
One of our representatives will respond to your submission as soon as possible.

   

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