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Contact name Licenced
Trading name How long trading
Telephone Current insurer
Fax Current premium £
Email Renewal date
Address at risk Buildings (rebuild value) £
  Trade contents £
Town Household contents £
County Stock in trade £
Postcode Refrigerated stock £
Business type Wines & spirits £
No. of letting rooms Electronic Business Equipment £
Flat roofed area % Claims history last 5 years Yes     No
Building construction type If yes, please describe
Is the property listed