Corporate Enquiry Form

Stackhouse Poland look after a wide range of commercial insurances for discerning businesses: Commercial Property, Professional Firms, Directors & Officers and those requiring Commercial Combined polices. Cover all aspects of your business insurance requirements: property damage in respect of offices and industrial units; business interruption; liability cover; motor fleet and many more covers which can be tailored to suit your individual requirements.

Please complete the brief form below and we will contact you to assist with your enquiry.

*Title: *Name: *Last Name: Company Name:

Address *Line One: Line Two: *Town: Region: *Postcode:

*E-mail (Please confirm you are happy for us to correspond with you by e-mail): *Telephone Number: Fax Number:

*type of Business: Renewal Date:

Current Insurer: *Brief description of your enquiry:

Commercial property: Office: Property Damage and Business Interruption: Professional Indemnity/Directors & Officers: Public and Employers Liability: Motor Fleet: Other:

Please note that completion of this form does not commit you to any form of cover. This would only happen once we have assessed your demands and needs and quoted premiums and terms to you.

By submitting your details, you agree to the use of your personal information as set out in our privacy policy and terms of business. This includes for the purposes of administering our web site services and for fraud prevention. Your details will also be added to our mailing list if you indicate such by ticking the box below.

We do not supply your details to any third parties unless you specifically ask us to.

I wish to Opt-In to your mailing list and receive the newsletter containing all the latest information about Stackhouse Poland: