Photographic Alliance Application Form

Offered In Association With Hive Insurance Services

Club / Federation Name (required)

I can confirm our Federation/Society/Club is a member of the Photographic Alliance of Great Britain (PAGB)

Club / Federation Venue Address line 1 (required)

Address line 2

City (required)

County

Postcode (required)

Firstname (required)

Surname (required)

Email (required)

Mobile Number (required)

Contact Position

Previous Claims

Has your club had a claim or claim payment in the last 5 years?

Have you had a claim in the last 5 years?

Previous Claim Details

If during the past 5 years, your club has had more than one claim or claim payments totalling over £1,000 we will need to agree your cover.

Please provide details of all previous claims below and continue to submit the insurance proposal form.

Add another claim

Start Date for Insurance (required)

Management / Trustee Liability Cover (optional, but highly recommended)

This provides important financial protection for the directors/officials of the club or federation against being sued in conjunction with the performance of their duties.

Property “All Risks” Cover*

This provides important cover against loss, theft or damage to club-owned or borrowed equipment.

Do you require this?

Premiums are inclusive of the Hive 15% Administration charge and include Insurance Premium Tax at 12%.

This policy is administered by Hive Insurance Services Limited, FRN 308655, and is provided by Pulse Insurance Limited trading as STB Insurance Brokers, FRN 308626. If you have any queries, please do not hesitate to contact us on 0800 028 0849.

Policy Terms & Conditions

I have read, understood and agree to your terms and conditions as detailed in the Policy Wording below

Premium Summary

Price

Total policy premium £

Photographic Alliance Application Form

Offered In Association With Hive Insurance Services

Call Hive Insurance today on 0800 028 0849 or email us at [email protected]

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