Lycetts Request A Quote For Polo Insurance

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HPA Member Employer's Liability - Request a Quote

Please view our supporting documentation to help you with this quote:

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Name(s)*
Address Line 1*
Address Line 2*
Address Line 3*
Postcode*
Telephone Number*
Fax Number
Email*
Website
Name of the HPA affiliated club of which the employer is a member of the HPA*
Please state a date from which you would like cover to be effective*
MM slash DD slash YYYY
Number of Staff employed:*
Do you require a copy of the policy certificate to be forwarded to Polo Permits for the purpose of confirming your employer status to the Home Office?*
- Yes
- No
if No, please advise to whom this should be sent:
*
- Please tick this box to confirm that you are applying for this insurance as a private individual and are not engaged in polo as a commercial business or for financial gain.*
*
- Please tick the box to confirm that you have read and understand the Keyfacts, Policy Wording and Lycetts Terms of Business and request Lycetts send you a quote.*
Comments
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Piers Plunket

Marlborough

Contact Piers Contact The Team

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Lycetts, Milburn House, Dean Street, Newcastle upon Tyne, NE1 1PP