Leisure Proposal Form Shooting Activities

Contact and Business Details

Enter your reference/code here, if you have one.

Your Title*

First Name*

Last Name*

Telephone*

Email *

Confirm Email **

Postcode*

Address*

Company Registration Number*

Charity Registration Number*

Company Registration Number*

Name of Partners*

Partners Address*

Partners Telephone Number *

Partner's Full Name*

Partner's Address*

Partner's Telephone Number*

Trading Name*

Business Premises Postcode*

Business Address*

Are any of your sites now or previously an MOD (Ministry of Defence) site? *

Yes

No

Do you have a Woodland or Urban Site? *

Yes

No

Business Website Address*

What year was the business established?*

Please select the activities you undertake?*

Airsoft

Paintball

Laser Tag

Archery Tag

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Public & Employers' Liability

When do you require your cover to start?*

Last year's premium?*

Current Insurer*

Do you require employers' liability insurance? *

Yes

No

Do you have any volunteers or unpaid workers? *

Yes

No

Do you use subcontractors? *

Yes

No

Annual Manual Wage Roll?*

Number of manual full/part time employees? *

Number of Manual Volunteers *

Annual Clerical Wage Roll? *

Number of clerical full/part time employees? *

Number of Clerical Volunteers *

What is your employer's reference number (ERN / PAYE)? *

Employers’ liability insurance is a legal requirement if you employ any of the following: full-time - part-time employees/self-employed contractors you hire/temporary staff, apprentices and volunteers/people taking part in work experience or training schemes

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Call Us

01702 225400

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Monday to Friday 9am-5pm

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Leisure Proposal Form Shooting Activities

Contact and Business Details

Public & Employers' Liability

Public & Employers' Liability Cont.

ESTIMATED Annual Turnover Split between activities:

All Risks Cover

Please list the total value of the below items;

Buildings and Security

Declaration

Call Us

01702 225400