EventInsure | Leisure, Events, Sports & Community Insurance

Proposer Details • Provide information on the Proposer

Proposer Name:

Proposer Name:*

Please provide the legal title of proposer

Proposer is Individual(s) or Entity:

INDIVIDUAL(S)ENTITY

Please specify whether the named proposer is a Private Individual(s) or Entity/Company/Committee

Trading Name:

If different to proposer name

Proposer Address:

Proposer Address:*

Please provide the full business or residential address of the policy proposer

Proposer Eircode:

You can get an Eircode using the Eircode finder, HERE

Contact Name:

Contact Name:*

Contact Email:

Contact Email:*

Contact Phone:

Contact Phone:*

Website:

Risk address, if different:

YES NO

Add a different risk address if required

Risk Address:

Risk Address:*

Eircode:

Eircode:*

You can get an Eircode using the Eircode finder, HERE

Provide google map link to risk address:

Find property on Google maps and copy text from your browser address bar - use street view if available

I have read and accept the Acceptance Criteria:

YES

Details of Policy • Is it an Annual Activity or Single Event

Choose a timeframe for your policy:

ANNUAL SINGLE

Single is for a particular once off event. Annual relates to organisations that would have an annually renewable policy.

Choose the principal activity:

SELECT*

Select from the provided list, the principal activities being proposed

Choose the Instructor type:

SELECT*

Choose the Club type:

SELECT*

Choose the Party type:

SELECT*

Description of shop:

Description of shop:*

Please provide further detail of what product or service you provide

Description of office:

Description of office:*

Please provide further detail of what industry you are active in

Event Name:

Event Name:*

Please provide the name of the event, for which you want cover

Does this event type adequately describe your event:

YES NO

Outline the Principal Activities:

Outline the Principal Activities:*

Please describe as best is possible the activities planned to take place at your event