Wedding Insurance

Wedding Date

Reception Venue Name & Address

Ceremony Venue Name & Address

Full Name of Partner 1

Date of Birth

Full Name of Partner 2

Date of Birth

Married Surname

Current Address

Married Address

Contact Telephone Number

Contact Email Address

Cover Required? (To upgrade from the Band 1 cover included, please transfer the relevant payment, before you submit this form, to Bespoke; Account No. 11564153, Sort Code 40-10-07). Cover Required? (To upgrade from the Band 1 cover included, please transfer the relevant payment, before you submit this form, to Bespoke; Account No. 11564153, Sort Code 40-10-07). Band 1 – Included Band 2 - £15.00 Band 3 - £25.00 Band 4 - £45.00 Band 5 - P.O.A Band 6 - P.O.A Band 7 - P.O.A Band 8 - P.O.A

Marquee cover required? (This is not included- price available on application). This should not be rquired at any of our venues, as if your wedding venue has their own marquee where you will be holding your reception, then they will be responsible for it and the marquee extension is not required. Marquee cover required? (This is not included- price available on application). This should not be rquired at any of our venues, as if your wedding venue has their own marquee where you will be holding your reception, then they will be responsible for it and the marquee extension is not required. Yes No

Ceremonial sword cover required? (Price on application). Ceremonial sword cover required? (Price on application). Yes No

To the best of your knowledge do you or any members of your family currently hold Insurance policies with us, or have you or they done so in the past? To the best of your knowledge do you or any members of your family currently hold Insurance policies with us, or have you or they done so in the past? Yes No

Have you or any person normally residing with you ever received a police caution, been convicted of a criminal offence or have a prosecution pending? Have you or any person normally residing with you ever received a police caution, been convicted of a criminal offence or have a prosecution pending? Yes No

Have you or any other person to whom this Insurance will apply ever had a proposal form declined, refused renewal, cover cancelled, or special terms imposed by an insurer? Have you or any other person to whom this Insurance will apply ever had a proposal form declined, refused renewal, cover cancelled, or special terms imposed by an insurer? Yes No

Have you sustained any Previous Loss or Claim? Have you sustained any Previous Loss or Claim? Yes No

Have you or any person to whom this Insurance will apply ever suffered from diabetes, epilepsy, heart condition or any other physical infirmity or disease, nor had any condition controlled by drugs? Have you or any person to whom this Insurance will apply ever suffered from diabetes, epilepsy, heart condition or any other physical infirmity or disease, nor had any condition controlled by drugs? Yes No

Are you involving the services of a Wedding Planner/Event Management/Third Party Company? Are you involving the services of a Wedding Planner/Event Management/Third Party Company? Yes, Bespoke Weddings No

Any above answered "YES" add details here

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