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Company Information




























Contact Information








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Affiliations

If you belong to any of the associations listed in the drop down list below, please select one.*




Type of products shipped  
   New general merchandise - commercial shipments %
   Used general merchandise - commercial shipments %
   Fragile goods %
   Perishable food, beverages, commodities / Temperature controlled products %
   Non - perishable food, beverages %
   Personal effects & household goods and personal automobiles / watercraft %
   Commercial automobiles / watercraft %
   Furs and skins %
   Jewelry, watches, precious stones and metals %
   Antiques, artwork, collectibles %
   Laptops, mobile phones, pda's %
   Radioactive, hazardous, restricted & controlled items, explosives, arms, ammunition %
   Heavy equipment / projects %
   Bulk / break bulk %
   Used clothing %
   Live animals / trees %
   Waste products %
   Other (please specify)   %


Geographic areas served  
 Europe %  North America %
 South America %  Central America %
 Asia/Far east %  North,East,& West Africa %
 South Africa %  Middle east %
 Russia and Former CIS countries %  Caribbean %
 Australasia %  Other (Please specify)  %


Mode, method of transportation

Mode of transportation

 Ocean %  Air %  Inland %

Type of shipments

 Import %  Export %  Domestic %

Method of transportation

 Containerized-FCL/ FTL %  Containerized-LCL/ LTL %  Non-containerized %
 Roll on/Roll off(RO-RO) %  Open top container %  Other (please specify)
%

Packing methods

 Professionally packed %  Owner packed %  Manufacturer packed %

Please provide as much detail as possible regarding your packing methods*


Current premium and rate information
Please specify the commodity you ship the most*
Please specify your current rate per $100 for that commodity
Please specify your current cargo insurance broker
If "other" please specify
Please specify your current cargo insurance underwriter
If "other" please specify
Please specify the amount of cargo insurance premium you currently book per year

Insurable volume  
I shall / expect to insure     shipments each  
The average value of these shipments will be approximately    

Loss information
Any losses in the past 3 years?   Yes    No

If yes, please give details



Has your insurance ever been cancelled or have you been refused coverage?   Yes     No

If yes, please give details


Other insurance needs
Please select from the drop down list below any other insurance product you may require.

Terms and conditions
Terms and conditions    Click here to accept

    


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