	Full Name including Trading Name or Limited Company
1. Full Name
Email Address
Telephone Number
2. Date Of Birth
	Garaging Address of Catering Trailer
3. Address
	Correspondence Address (if different from Garaging address)
Correspondence Address
	Garaging Security Details
4. Security Details
	Insurance for twelve months starting from.
5. Period of Insurance from
6. Make and Model of Catering Trailer
	We must have a form of Identification for the Policy to be valid.
Serial Number
Year
Purchase Price
Current Value
Security
Telephone No.
7. Do You Require Cover For A Generator	Yes No
	If you do not require cover for a generator please move to question 8.
Make and Model
Year
Serial Number
Purchase Price
How Is It Secured?
	Please describe your trade or business fully.
8. Description
9. When was the business established?
	Please give details of any losses sustained or claims made in the past 5 years regardless of whether insured or not.
10. Previous Claims
	Have you or any partner in the business:
11. a)Had any proposal or Insurance declined, cancelled or refused?	Yes No
b) Had renewal refused or a policy cancelled?	Yes no
c) Had special terms imposed or increased premium loadings?	Yes No
	Details:
If you have answered YES to any of (a) to (c) above please give details.
	Have you or any director in the business:
12. a) been convicted of, or charged (but not yet tried) with a criminal offence?	Yes No
b) been declared bankrupt or insolvant?	Yes No
	NOTE: Failure to disclose a material fact (any likely to influance the Company's acceptance or assessment of this proposal) will render the insurance voidable. If you are in doubt about the facts which might be considered material you should dislcose them.
13. Are there any other facts you should disclose?	Yes No
If YES, please give details