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About You
Title: *		Please Select... Mr Mrs Miss Ms
Full Name:*
Contact Telephone Number:*
Email Address:*
Shop Address:*
Shop Postcode:*
Business/Trading Name:*
Policy Details
Date Cover to Start : *		Please Select... Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Number of claims made in the past 5 years? *		Please Select... None 1 2 3 4 +5
How long have you been trading for? *		Please Select... Under 1 Year 1 Year 2 Years 3 Years 4 Years 5 Years 6+ Years
Shop Details
		(Please complete amounts of cover required)
Tenants Improvements/Fixtures & Fittings (£):*
General Contents (£):*
General Stock (£):*
Stock of Tobacco (£):*
Wines & Spirits (£):*
Other (please specify):
Trade: *		Please Select... Adult Bookstore Amusements Angling Retail Antique Furniture Retailing Antique/rare Books Dealing Antiques Retailing Artist Materials Retailing Arts And Crafts Retailing Audio/Visual Media Retailing Baby Goods Retailing Babywear Retailing Baker Bakers Produce Retailing (exluding baking) Bakers Produce Retailing (including baking) Basket And/Or Brushware Retailer Bathroom Equipment Retailing Bed Retailing Bedding Retailing Belts/Scarves/Gloves Retailing Bookselling Bookselling - Second-hand Boutiques Bridal Wear Retailing Builders Merchant Bureau De Change Butcher Cafe (excluding deep fat frying) Cafe (including deep fat frying) Cameras &/Or Photographic Equipment Retail Camping And Outdoor Retailing Car Accessory Shop Car Radio Dealers inc fitting Cards & Stationary Retail Carpet (Oriental/Persian) Retailing Carpet Retailing Cash & Carry Catering Equipment Supplying Ceramics And Pottery Chandlery Charity Shop Cheese Retailer Chemist - Dispensing Chemist - Non Dispensing Children's Clothing Retailing China And/Or Glassware Retailing Chinese / Indian Take-away Christmas Goods Supplier Clock & Watch Repair Clock And Watch Retailing Clothing Hire - Fancy Dress Clothing Hiring Clothing Retailing Coffee And Tea Retailing Coffee Shop Computer Games Retailing Computer Retailing - Business Computer Retailing - General Computer Retailing - Home & Games Computer Supplies Confectionery Retailers Cosmetics Curios Retailing Curtain & Blind Retailer Cutlery Retailing Cycle Hiring Cycle Repairing Cycle Shop Dairy Products Retailing D.I.Y. &/Or Hardware retail Decorators Merchants Delicatessen Department Store DIY - Including Timber DIY Store Dog Beautician Dolls/Dolls House Retailing Double Glazing & Replacement Window Showroom Draper Dress Agency Dressmakers Drug Stores Dry Cleaning Dry Cleaning (Receiving Service) Dry Cleaning and Laundry (Receiving Service) Electrical Goods (Domestic) Repair Electrical Goods Retailing Electrical Goods Retailing - Domestic Appliances Electrical Goods Retailing - HI FI Audio TV etc. Electrical Goods Retailing - White Goods Electric Tool Retailers Embroidery Engraving Estate Agency Fabric Retailing Fancy Goods Retailing Farm Produce Retailing Fashion Accessories Retailing Fashion Boutique Fashion Retailing Fast Food Retailing Film Processing Fireplace Retailing Fishing Tackle Retailing Fish & Chip Shop Fishmonger Florists Food Store Footwear Retailing Freezer Centre Frozen Food Retailing Fruiterer Funeral Director Fur Retailing Furniture (Flat Pack) Retailing Furniture Repairing Furniture Restoration Furniture Retailing Furniture Retailing - Fitted Furniture Retailing - Nursery Furniture Retailing - Second-hand Furriers Garden Centre Garden Equipment Retailing Garden Supplies Shop General Store Gift Shop Glass Merchants Glass or Glass Goods Decorators / Engravers Glassware Retailers Glazier Goldsmith Golf Equipment Retailing Golf Professionals Shop Gown Trade Greengrocer Greeting Card Retailing Grocer Grocer/General Store (Licenced) Gown Retail Gun Retailing Gunsmith Haberdashery Hairpiece And Wig Retailing Handicraft Retailing Hardware Retailing Hat Shop Hatter Health Food Retailer Heel Bar Herbs and Spices Retailing Hobby Shop Home Brew Materials Retailing Horticultural Goods Retailing Hosiery Household Goods Retailing Ice Cream Parlour In Car Entertainment Retailing Indian Takeaways/Restaurants Industrial Safetywear Retailing Interior Design Interior Designers including fitting Internet Cafe Intruder Alarm Retailing Ironmonger Jewellery Key Cutters Kitchen Accessories Retailing Kitchen/Bathroom Unit Showroom Knitting Machine Shops Knitwear Retailing Lamp Shops Launderette (attended) Launderette (unattended) Leather Clothing Retailing Leather Goods Retailing - Excluding Clothes Leather Goods Retailing (including Clothes) Leisurewear Retailing Licensed Premises Light Fitting Retailing Lighting Retailing Linen Hire Linen Retailing Lingerie Retailing Locksmiths Luggage and Handbag Retailing Marine Stores Maternity Wear Retailing Medical Supplies Retail Model Shop Menswear Retailers Millinery Mobile Phone Retailing Model Shop Motor Accessories Retailing Motor Accessories Retailing (Excl In-Car Entertainment) Motorcycle Accessories Retailing Music Retailing Musical Instrument Retailing Nail Bars Newsagents Novelty/Carnival Goods Retailing Nursery Goods Shops Off Licence Office Equipment Supplier (including Electrical) Office Furniture Retailing Office Supplies (excluding Computers) Retail Office Supplies Retailing Optician Optometrists Organic Foods Retailing Orthopaedic Equipment Retail Paint And/Or Wallpaper Retailing Pawnbroking Pens Retailing Perambulator Retailing Perfume Retail Pet Accessory/Food Store Pet Parlour Pet Shop Petrol Station Pharmaceutical Wholesaler Pharmacy Philatelic Traders Photo Engraving Photo Processing And Printing Photocopying Photographic Equipment Retailing Photographic Studio Photographic Studio & Supplies (excluding cameras) Piano Retailing Piano Retailing And Repairs Picture Framing Picture Shop Pine And Cane Furniture Retailing Pizza Shops (Take-away) Plumbers Equipment Retailers Plumbers Merchant Pool & Snooker Table Retailing Post Office - Sub Pottery Poultry And Game Retailing Pram Retail Print Shop Property Owner Of A Vacant Property Public House Radiator Retailing Record CD Cassette & Video/DVD Retailing Record Shop Restaurant Rope Merchant Saddlery And Tack Retailing Sandwich Bar Scientific Instrument Retailing Second-hand Dealing Sewing Machine Shop Sex Shop Sharpening Services Shirt Retailing Shoe Repairing Shoe Retailing Sofa Bed Retailing Soft Furnishings Retailing Souvenir - Retailing Sports Goods Retailing Sportswear Supplier Sports Trophy Retail Snack Bar Stationer Sunglasses Supermarket Surgical Equipment Retail Sweet Shop Tobacconists Tableware Retailer Tailor And Outfitter Take Away Food Tea Room Telephone Sales Retailing Television Hiring Television Repairing Television Retailing Textile Retailing Ticket Agency Tile Retailer Tobacconist Toiletries Retailing Tool Hire Tool Retailer Toy And Game Retailing Travel Agency Leather and Travel Goods Trophy Retailing Turf Accountants TV And Radio TV And Video Rental TV And Video Repairing Typewriter Retail Uniforms Retail Venetian Blind Supplier Video DVD & Computer Game Hire Video Equipment and Tape Retailing Video (Tape) & DVD Hire Vinyl Record Shop Wallpaper Shops Watch And Clock Retailing Wine Bar Wine Retailer Wool And Needlework Shop Woollen Goods Shop Yacht Chandlery
Is the property of standard construction eg. Brick/Stone/Slate/Tile? *		Please Select... Yes No
Are all final exit doors fitted with minimum of 5 lever mortice deadlock? *		Please Select... Yes No
Are the premises occupied overnight? e.g. manager living above? *		Please Select... Yes No
Do you have a lottery terminal/ATM on site? *		Please Select... ATM Lottery Both None
Any other cover required (please specify):
Is there an alarm system fitted? *		Please Select... Yes No
*indicates mandatory field