Insurance provider for Hotels, Motels, Clubs, Nightclubs, Restaurants, Amusement Arcades - High Street Underwriting Agency based in Brisbane



Insurance Quote form - Public Liability Insurance - Brisbane Australia - Hard to place Public Liability Insurance - including but not limited to Cabinet & Furniture Makers, Nightclubs, Machinery & Equipment Manufacture, Property Owners, Retail Shops, Second Hand Stores, Storage Sheds, Takeaway and Snack Bars, Timber, Wholesalers, Canoe Tours, Cycling Tours, Camel Tours, Fossicking, Hiking Tours, Camping Tours, Horse Carriage
High Street Underwriting Agency - Brisbane Insurance Provider for Australia wide

 


Please  submit the on-line form below or DOWNLOAD the form and fax back to 1800 096 680

 
ON-LINE QUOTE FORM
 
 

PROPOSER'S DETAILS
BUSINESS NAME:
CONTACT PERSON:
EMAIL ADDRESS:
PHONE NO:
FAX NO::
 

Full business description of all activities:

 

Do you have a contract that requires this liability insurance?

YES

NO
Number of years experience in this industry:
Estimated Annual Turnover
for the next 12 months $:


Have you had any claims in the last 3 years?

YES

NO


Do you manufacture, supply, distribute or sell products?

YES

NO

If yes, please provide full details of products and
estimated turnover from product sales for the next 12 months


Amount of LIABILITY cover required: (10,000,000 recommended)

$10,000,000

$20,000,000

 


THANK YOU!



 

P: 1800 096 829   F: 1800 096 680   EMAIL US 

© High Street Insurance Underwriting P/L PO Box 7174 Brendale QLD 4500

 

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Insurance Providers - Public Liability Insurance - High Street Underwriting Retail & Wholesale Insurance -  Brisbane based






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