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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 give details of the nature of the claim, approximate date, and approximate amount of insurance paid to you
Is the property listed