Dog Breeders Insurance Quote Form
  1. This simple form asks about your contact details, your business, the cover you want and any previous claims. It take less than 5 minutes to complete and send. Alternatively, or should you have any questions, please call us during office hours on 01284 736 874 or email info@petbusinessinsurance.co.uk.
  2.  
  3. Your First Name(*)
    Please let us know your name.
  4. Your Last Name(*)
    Please let us know your name.
  5. Company Name
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  6. Your Email(*)
    Please let us know your email address.
  7. Telephone
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  8. Address (Line 1)
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  9. Address (Line 2)
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  10. Town/City
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  11. Postcode
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  12.  
  13. Your Business

  14. Main Business
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  15. Additional Services


















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  16. Number of people working in the business:
  17. Business Partners and Directors
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  18. Full Time Employees
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  19. Part Time Employees
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  20. Helpers/Volunteers
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  21. What is your annual turnover?(*)
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  22. What is your annual wageroll for all your employees?(*)
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  23. How long have you been trading?(*)


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  24.  
  25. Your Cover Needs

  26. Equipment Cover £
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  27. Contents Cover £
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  28. Buildings Insurance (rebuild cost) £
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  29. What year was the building constructed?
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  30. Building Construction
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  31.  
  32. Any Previous Claims

  33. Previous Buildings/Contents Claims
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  34. Previous Liability Claims
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  35. Message
    Please let us know your message.
  36. Chosen Cover Start Date

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  37.  
  38. Accept T&Cs(*)
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    By submitting this form you are agreeing to our Terms & Conditions and that Pet Business Insurance will contact you. Note PBI will never sell or pass your details to anyone.

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