Part 1: Business Details
Proposer’s Full Name including all trading names, group companies and subsidiaries that are to be covered by the policy
Address
(including post code)
Contact Name
Telephone Number
Fax Number
E-Mail Address
Website Address
3.  Please list the names, dates of birth and background of all the Company Directors/Partners including number of years experience in the industry
4.  If you require Employers’ Liability cover, please supply your Employer PAYE Reference(s). (This information is required for us to provide Employers’ Liability cover. Where you have more than one PAYE Reference, please advise each one making it clear which company they apply to)
Company / Subsidiary NamePAYE Reference
5.  If you do not have a PAYE Reference, please confirm that you are exempt and give the reason.
Are sales made over your website?
Yes  No
 
Full Business Description and Nature of Holidays Provided
Year Established
If a new venture, you will be asked to provide CV's for the Principle(s)
How long have you been in business elsewhere?
 
Please list any Trade Association you belong to:
ABTA
BITOA
 
ABTOF
ARTAC
 
NAITA
AITO
 
Current Insurance     
Renewal Date
 
Insurer
 
Premium
Liability
£
     Office
£