Application for Insurance: Download Forms Here

Get Your Free Quote:

Name:

Phone:

Email:

Do you have current coverage?

If yes, when does it expire?

Please complete the attached application to obtain a quote for your Club Insurance property and liability insurance coverage. You will find that there are certain terms which have been highlighted that will help answer any question you might have during the application process.

If you own an existing club, in addition to completing this application, we will also need to obtain your past three years claims experience reports from your existing and prior and insurance companies. This report is not required when you're submitting for a quote. However it is needed for binding. Please contact your current agent and request your “Three-Year Loss Run Report.”

Please fax the completed application(s) to: 678-290-2200 and one of our representatives will contact you regarding the information provided on the form.

Should you have any questions about the insurance application, please contact Jennifer Dangar at 866-671-0524 for assistance. We look forward to working with you.

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