Insurance Quote request form

Please fill in our response form to obtain more information on any of our insurance services and we will contact you to discuss your personal requirements.

Contact Name: *

Address of Property: *

Post Code: *

Telephone: *

Fax:

Email: *

Occupation:

Type of Insurance:
Commercial
Home
Motor
Life / Pension / Investment
Travel
Personal Accident
Professional Indemnity
Other
Present Renewal Date:

Present Insurer / Broker:

Previous Premium:

Additional Information:

*Denotes mandatory field

Our business is protecting your business
Insurance not due yet?
Leave your details and we will contact you nearer the time!
Your service is very thorough and complete.
80% of our customers achieved premium savings on their
renewals.
Our philosophy.....to save on your premium, not on your policy
Considering a change, call one of our advisers
Our Claims Promise - "prompt action - prompt settlement"

To obtain more details on any of our services please complete the Response Form and we will contact you to discuss your personal requirements.

John Ansell & Partners Limited

Insurance Brokers, Overseas House, 19-23 Ironmonger Row, London EC1V 3QN Telephone: 020 7251 6821 Fax: 020 7490 0708 e-mail: enquiries@ansell.co.uk