EVENT COVER FORM

Please complete the below form in full and our team will get back to you shortly.

For better results, please try to submit at least 3 working days before your event.

Are you a Sole Trader or Partnership?(Required)

Yes

Name(Required)

Prefix First Middle Last Suffix

Date Of Birth(Required)

Address(Required)

Street Address Address Line 2 City Region Postcode Country

Company Name(Required)

As it appears on Companies House

Contact Name(Required)

Contact Number(Required)

Email(Required)

Name of Event(Required)

Start Date of Event(Required)

End Date of Event(Required)

Venue Occupancy Start Date(Required)

Venue Occupancy End Date(Required)

Type of Event (e.g. live music, dance, etc.)(Required)

Is this a club night?(Required)

Yes

Venue Name(Required)

Event Maximum Capacity(Required)

Location of Event(Required)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Estimated Turnover(Required)

Estimated Wages(Required)

Indemnity Limit of Public Liability(Required)

£5,000,000

Employers Liability (Optional)(Required)

£10,000,000

Not Required

Additional Cover

If you require any additional cover over and above what you have detailed here, please provide a brief description below and our team will get back to you to discuss your requirements.

EVENT COVER FORM

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