Name of Charity/Organisation*
Contact Name*
Your Name*
Your Phone Number*
Your Email*
Is your office address for charitable activities based on the Isle of Man or the Channel Islands?*
Your annual income/turnover (£)*
Public & Product Liability limit of indemnity*
Employers Liability cover for Employees and Volunteers*
All Risks cover your property & equipment*
When do you want cover to start?*
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