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Liability insurance quotation form for Chiropractors   Where there are subsidiary companies a separate liability quote should be obtained for each company. Please enter details below as fully as possible to obtain your liability insurance quotation if you would prefer not to fill in the form, just click onto the call me back option above and have someone call you.   Your full name     Your Company name     Business address including full postcode     Business telephone number     Business Fax number     Email address (required to obtain quote)     How long have you had insurance?     Please select Less than one year One year Two years Three or more years Have you made any claims in the past three years?     Please select No Claims One claim less than £1000 One claim above £1000 Two or more claims What is it you want to insure?     Please select Contents and building Contents Building only Contents is the total value of items including:- all electrical and computer equipment - portable office equipment (that may be used off the premises for work) - documents in transit - refrigerator contents - trade stock and samples - goods held in trust - employees effects. The value of improvements to a property by a tenant is also to be included. (All items are subject to the limits shown in the policy documents or disclosed in the quote process.)     = Total value of content = of which is electrical and computers = portable office equipment = documents in transit = refrigerator contents = drugs and medicines = money (in office hours, in transit or in bank night safe) Are the premises occupied at night?     Please select Yes No Public Liability excludes Professional Indemnity and Advice and Treatment     £2 million £3 million £4 million £5 million Policy start or renewal date     Current insurer?     Renewal/Target Premium     Please provide details of your business activities     Annual business turnover     Number of manual principals (yourself and any business partners).     (Please input a numeric amount) Other staff     (Please input a numeric amount) Are you a limited company?     Yes No No - Sole trader No - LLP No - Partnership Other How did you hear about us?     Existing customer Recommended Internet search engine Angels business e-update Link on another website Magazine advertising Radio advertising Would you like to receive our business e-update?     Yes No Main Liability insurance menu All in one combined business insurance Professional indemnity insurance menu Commercial business finance menu Great British Finance Limited are authorised and regulated by the Financial Services Authority (FSA). The FSA does not regulate some forms of Mortgage, Inheritance Tax Planning, Credit Cards, Personal Loans, Deposit Accounts & Insurance. If you are submitting an online request, we would advise to read our KeyFacts statement, links are at the top and bottom of this page.

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