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Form for quick insurance quotation

Name of residents' association/management company   

Your name             Position (Secretary, Treasurer, etc)   

Your address   

Number of properties in the road 

Level of public liability cover required (£2M, £3M, £4M or £5M)  

Level of "D&O" insurance required (£100,000 or £250,000)
if you would like a quotation for this 

Date when your existing policy expires, if you have one 

Please enter any other comments or requests in the box below. If you need an urgent response, because your
existing policy is about to expire, please let us have a telephone number and/or email address. Thanks.

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