|
|
|
QUOTE REQUEST - Contact Information |
| Organization Name: |
|
| |
|
|
First Name: |
|
|
Last Name: |
|
|
Address: |
|
|
City: |
|
|
State: |
|
|
Phone: |
|
|
Zip Code: |
|
| |
|
|
E-mail: |
|
|
Confirm E-mail: |
|
| Website: |
|
Dates of your
event:
(let us know if this is a short-term event or annual) |
(estimated start and end date - you
can adjust this later; you can also write ANNUAL) |
| |
|
| Estimated
Daily Attendance: |
|
| |
|
| |
cheddar55 |
| Hay Ride: |
|
| Do you have any
big cats at your petting zoo or reptile show: |
|
| |
|
| Do
you have any venomous animals: |
|
| Pony Rides: |
|
| Stage Coach Rides: |
|
| |
|
| |
|
| |
|
|
Reptile Show or Petting Zoo Type: |
|
| |
|
| Do you have a
hand washing station? |
|
| |
|
| Alcohol: |
|
| |
|
|
List of animals that will be present at the reptile show and
number of pony rides and carriages that you have (if any): |
|
| |
|
| If
you hold any special events, please provide a description here.
All special events must be listed on the policy or there will be no
coverage: |
|
| |
|
| |
Do you have any other information
about your business, or comments that you would like to
share? Please place special requests here. |
| |
|
| |
|
|
|
| |
|
| |
|
|
Someone will contact you about your insurance request to go over the
coverage and options usually in the same day.
NO
COVERAGE IS BOUND, OFFERED, ISSUED THROUGH THIS ELECTRONIC
COMMUNICATION, ALL POLICIES MUST BE UNDERWRITTEN AND APPROVED BY THE
CARRIER. DO NOT CANCEL YOUR CURRENT
INSURANCE.
Copyright 2014 Stratum
Insurance Agency, LLC
Petting Zoo Insurance - Animal Show
Insurance - Reptile Show Insurance - Pumpkin Patch Insurance - Christmas Tree
Lot Insurance - Haunted House Insurance - Tractor Pull Insurance - Petting
Zoo Insurance |