CROWNSWAY INSURANCE QUOTATION REQUEST

Church, Mosque, Religious School, Temple & Community Centre

Name of Organisation             Contact Name               Email  

Full Address                                                                Tele. No.      :   

Fax   :                           Post Code    Mob. No.         Yr. Established  

Renewal Premium     £              Renewal/Start Date        (dd-mm-yyyy)                 Present Insurers  


1. INSURANCE COVER REQUIRED     SUM INSURED


Building [ SUB / AD ]         £        

Contents                                                        £        

Office Contents with Computer                        £        

Fixture & Fittings                                           £         

Employers Liability ( £5 Million )                      £         

Public Liability ( £1M, £2M, £5M )                   £         

Legal Liability ( £100,000 Cover Premium £25)         

Terrorism                                                                  

Any information to be disclosed including claims  : 


  We also Specialise in :

Household Insurance, Buy To Let, Property Owners, any type of Shops,

Restaurant, Takeaway, Fish and Chips, Motor, including Motor Fleet.

                 Registered Office : D. J. S. House, Holyhead Road, Birmingham, B21 0BD

                FAX : 0121 523 2992, Tel : 0121 554 3566 / 9788

E-Mail : info@crownsway.co.uk,Website : www.crownsway.co.uk