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Security / Fire Protection - Estimate Form

Policy Number *
Insured Name *
Period From
Period To
TurnoverManufacturingInstallation / ServicingRetail Sales
A) Intruder Alarms / Components
B) Fire Alarms / Components
C) Fixed Fire Extinguishers
E) Access Control Systems
F) Locks / Safes
g) Grilles
H) Keyholding
I) Central Stations
J) Guarding
K) Portable Fire Extinguishers
L) Sprinklers
M) Door Supervisors
N) Any Other
Please Specify Details
Total ESTIMATED Annual Turnover
Wageroll (including labour only subcontractors)
Number of EmployeesWageroll
a) Clerical & Non-Manual Staff
b) Installation / Servicing / Guarding etc.
Total ESTIMATED Annual Wageroll
Email Address - *
This email address will be used for correspondence regarding this On-Line form and for no other purpose.
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