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 PhoneEmail* Club Website Address* Number of Individual Members* Number of Family Memberships* Number of Days for each of the following:Member MeetingsPlease enter a number greater than or equal to 0.ClinicsPlease enter a number greater than or equal to 0.DemonstrationsPlease enter a number greater than or equal to 0.Hunt DaysPlease enter a number greater than or equal to 0.School ShowsPlease enter a number greater than or equal to 0.Fun/Play DaysPlease enter a number greater than or equal to 0.Gymkana DaysPlease enter a number greater than or equal to 0.Trail DaysPlease enter a number greater than or equal to 0.Driving EventsPlease enter a number greater than or equal to 0.Parade DaysPlease enter a number greater than or equal to 0.FundraisersPlease enter a number greater than or equal to 0.Number of:Acres/OwnedPlease enter a number greater than or equal to 0.Horses owned by clubPlease enter a number greater than or equal to 0.Non-owned boarded horse by clubPlease 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?*Internet Search (Please specify words searched)American Morgan Horse AssociationAmerican Riding InstructorsArabian Horse AssociationAssociation Resource GroupAmerican Vaulting AssociationCertified Horse AssociationFriend/Stable/Referral (Please tell us who to thank below)Intercollegiate Horse AssociationLinkedInMy Horse Council (Please specify the state below)Trade Show (Please specify below)United States Dressage FederationUnited States Equestrian FederationUnited States Hunter Jumper AssociationUnited States Polo AssociationUnited States Team RopingOther Equestrian Association/Club/Council Not Listed Here (Please specify below)Other/Please Specify Details Please list any additional commentsPhoneThis field is for validation purposes and should be left unchanged. Δ