Quote for Horse Clubs

Quote Request for Horse Clubs

Are you an insurance agent or broker?*
- Yes
- No
Club Name*
Contact*
Name
First Last
Address*
Street Address City State / Province / Region ZIP / Postal Code
Phone
Email*
Club Website Address*
Number of Individual Members*
Number of Family Memberships*
Number of Days for each of the following:
Member Meetings
Please enter a number greater than or equal to 0.
Clinics
Please enter a number greater than or equal to 0.
Demonstrations
Please enter a number greater than or equal to 0.
Hunt Days
Please enter a number greater than or equal to 0.
School Shows
Please enter a number greater than or equal to 0.
Fun/Play Days
Please enter a number greater than or equal to 0.
Gymkana Days
Please enter a number greater than or equal to 0.
Trail Days
Please enter a number greater than or equal to 0.
Driving Events
Please enter a number greater than or equal to 0.
Parade Days
Please enter a number greater than or equal to 0.
Fundraisers
Please enter a number greater than or equal to 0.
Number of:
Acres/Owned
Please enter a number greater than or equal to 0.
Horses owned by club
Please enter a number greater than or equal to 0.
Non-owned boarded horse by club
Please enter a number greater than or equal to 0.
Do you have any need for additional insured certificates?
- Yes
- No
If so, how many?
Please enter a number greater than or equal to 0.
Do you need a quote for higher limits of liability coverage?
- Yes
- No
How di you hear about us?*
Other/Please Specify Details
Please list any additional comments
Phone
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