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Home | 4th December 2008 |

John Ansell Residential Property Owners Scheme

Specially agreed rates for Property Insurance only available through John Ansell and Partners Limited in conjunction with Norwich Union Insurance.

For a free premium indication, complete the following details and click Send:

John Ansell & Partners Limited
FREEPOST
London EC1B IEW

FREEPHONE: 0800 3580709
Facsimile: (020) 7490 0708
E-mail: enquiries@ansell.co.uk

Name of Proposer:

Address of Property:

Postcode:

Name of Contact:

Contact Address:

Postcode:

Telephone:

E-Mail:

Are the premises
purpose built?

Yes
No

If "No" please enter date of conversion.

Number of flats:

Sum Insured:

Buildings
Contents of Communal Areas
(cover is automatically provided up to £ 25,000)

Claims:

a) Have you had any claims during the last five years?
Yes
No

b) Have the premises ever suffered from subsidence, heave or landslip?
Yes
No

If "Yes" to either (a) or (b) then please provide details below of the date, type of claim/damages, and amount claimed.

Details of Current Insurance

Insurer:
Premium:
Renewal Date:

All premiums given will be subject to satisfactory completion of proposal form.

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

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