Public Liability Quotation

Your Details
Title: *

First name: *
Surname:*
Email address: *
Contact number: *
Mobile number (if different):
Address:*
Postcode: *
Business Details
Business name: *
Business type: *
Trade or business: *
Number of full years trading: *
Have any claims been made in the last 5 years? *
Yes   No
People in the Business
Number of principle partners: *
Other manual (max at any one time) *
Other clerical (max at any one time) *
Cover Required
Public Liability (£) *
Employer's Liability (£)*
Tools cover (£) *
Optional cover required:  Hired in plant
 Cover for temporary employees
 Own plant
 Contract works
 Personal accident
 Wood machinists

Please note; cover is not in force until confirmed by us.
Contacting You
Preferred contact method:
Preferred contact time (Monday-Friday):
How did you hear about us:
Towergate Risk Solutions is a trading name of Towergate Underwriting Group Ltd.  We would like to contact you from time to time about products and services (or with news, offers, services and promotions) that we feel may be of interest to you. By providing us with your contact details, you consent to being contacted by these methods for these purposes.

Please tick the box if you prefer not to receive marketing communications from us by post or telephone.  
Please tick the box if you prefer not to receive marketing communications from us by email, text messaging or other electronic means.