TankGuard Insurance Enquiry Form
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Product Information
Client Service Agreement - PDF <101kb>
Please enter your details below:
NOTE: All fields marked with a * must be filled in for a successful form submission.
Company Details
*Company Name:
*Contact Name:
Position:
Address:
*Phone Number:
Email:
Fax Number:
Description of your business:
Details of Fleet
*No. of owned tank containers:
*Owned TEU's: :
*Owned others: :
*Value per tank:
*Value per tank: :
*Value per tank: :
*% on hire:
 %
*% on hire: :
 %
*% on hire: :
 %
 
*No. of leased tank containers:
*Leased TEU's: :
*Leased others: :
*Value per tank:
*Value per tank: :
*Value per tank: :
*% on hire:
 %
*% on hire: :
 %
*% on hire: :
 %
Where are you trading (please state as a rough percentage)
*UK:
 %
*Europe:
 %
*USA:
 %
*Far & Middle East:
 %
*Rest of World:
 %    
 
*Description of Cargoes:
(if operator)
*Details of claims paid and outstanding:
(last 3 years)
*Current excess:
(and whether you would consider alternatives)
What insurance cover do you currently have?
Damage Protection Plan:
Interested in?
Contingency Insurance:
Errors & Omissions:
Third Party Liability:
Cargo Insurance:
Excess Layer Insurance:
Off-Hire Damage Cover:
 
What is your renewal date?:
   
 
   
  Someone from our Marine Department will respond to your enquiry as soon as possible.