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Name of Club Group or Society*
Contact Name*
Contact phone Number*
Contact Email Address*
Address (inc Postcode) of premises used*
Main activity of your Group*
Total number of members*
Total number of Employees including volunteers*
What datte would you like cover to start*
     
Public Liability Limit of Indemnity*
   
Employers Liability (inc volunteers)*
   
Business Interruption*
   
Money Cover*
   
Trustee Indemnity*
   
   
Personal Accident*
   
All Risks*
   
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