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Personal Details

Name and Surname*
Telephone*
NIE Number*
Occupation
Gender*
Post Code*
Email*
Date of Birth*

Insurance Details

Equipment description
Where do you keep clubs and accesories?
Has a claim been made with the goods to be insured in the last 3 years?
Details of claim
Do you have a physical impairment that may afect the personal accident cover?
Details of impairment
Equipment value*
Golf club Membership

Current Insurer

Insurance Provider
Current Policy Number
Date of Renewal
Additional comments

Comments

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