Wardrop
& Co Insurance are please to provide collectors Insurance, specialising
in, but not limited to, Stamp and other Philatelic content. Please complete
the form below to electronically sumbit a request for a quote. We will
contact you using the details below as soon as we can. Please print and
retain a copy of the form for your records.
Note: The signature and date only need to be filled in on a paper
copy of the form.
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| Proposer
Details: |
(Collectors
Insurance) |
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| Forename |
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| Surname |
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| House No. |
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| Street |
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| Town |
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| County |
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| Postal code |
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| Country |
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| Telephone |
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| FAX |
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| Mobile |
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| E-mail |
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| Cover Required: |
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| Anywhere UK (£) |
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| Bank Vault Only
(£) |
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| Normally Bank (£) |
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| Total Sum Insured
(£) |
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| Value of Top Item
(£) |
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| List Items worth
£1000 or more |
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| Collection
Value Details: |
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| Has
the collection been professionally valued ? |
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| If "yes",
by whom, and date of last valuation. |
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| If "No"
on what basis was the value of the collection determined? |
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| s a
complete record of collection maintained? |
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| If "No"
please state how exact amount of loss would be calculated? |
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| Location
Details: |
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| Is the
address at which the collection is kept: |
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| Self-contained
and exclusively under your sole control ?: |
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Built
of brick, stone or concrete and roofed with slate, tiles, metal, asbestos
or concrete ?: |
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| Are
all external doors fitted with deadlocks to BS3621 ?: |
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If
NO or you are in doubt please give details of makes and types of locks
fitted: |
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Are
all accessible windows fitted with window locks having removable keys
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| Do you
have a burglar alarm ? : |
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| Is the
collection kept in a fire-proof cabinet ? |
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| If "Yes",
please state maximum amount NOT kept in safe, if applicable (£) |
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| Insurance
History: |
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| Have
you sustained a loss for any of the risks now to be insured against ?
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| Is
the collection presently insured ?
If "Yes"please state name of insurer: |
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| Have
you ever had your insurance: |
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| Cancelled? |
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| Refused
Renewal? |
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| Preimium
Increased? |
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| Revised
with addition Terms & Increased rates? |
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| On what
date is this Insurance to commence? |
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DECLARATION
To the best of my knowledge and belief the sums insured above represent
the full value of the property to be insured. The information provided
in connection with this proposal application, whether in my hand or not,
is true and I have not withheld any material facts.
I understand that non-disclosure or misrepresentation will entitle the
insurers to void the insurance.
I understand that the signing of the proposal/ application does not bind
me to complete the insurance but agree that should a contract of insurance
be concluded, this proposal/application and the statements made therein
shall form the basis of the contract.
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| I
agree to the above declaration:
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| Signature: |
Date: |
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The company is authorised and regulated by the Financial Services Authority. Our Registration number is 304502 and you can check this by visiting the FSA Website or telephoning them on 0845 606 1234. The Wardrop & Co privacy policy can be found here.
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