MAXIMUM VALUE £15,000. If you have a horse valued at more than this please contact Kbis by phone 01635 247474 or email ask@kbis.co.uk

Proposer Details:
Title (Mr/Mrs/Ms/Dr):
Initials:
Surname:
Address:
Town:
County:
Postcode:
Country:
E-mail:
Telephone (work):
Telephone (home):
Fax (if applicable):
How did you hear about KBIS?
Horse Details:
Name:
Age:	Years     Date of birth (if less than a year old)
Sex:	Mare   Filly   Gelding   Stallion   Colt
Colour:
Breed:
Sum to be Insured (£):
Date of purchase:
Class of Cover Required:
Class 1A	Hacking, Rearing, Breeding, Breaking, Gymkhanas, Showing in hand or under saddle, Dressage up to Elementary level, non-competitive Driving, Riding Club and Pony Club Events including Novice Hunter Trials, Showjumping up to Foxhunter level.  Sum insured under £7500.
Class 1B	As per class 1A with sum insured over £7500 plus : Dressage above Elementary level, Showjumping above Foxhunter level.
Class 2	As Class 1 plus : Pre Novice, Novice and Intermediate Eventing, Hunting, Open Hunter Trials, Long Distance Riding.
Class 3	As Class 1 and 2 plus : Advanced Eventing, Team Chasing, Trotting, Arab Racing
Insurance Cover Options:
* Basic Mortality Cover	(Included as standard)
A. Permanent Loss of Use (PLU)     (due to Accident, Sickness or Disease)	None 75% 100%
B. Vets Fees Cover Option     (click here for definition)	None Scale A B C D
C. Saddlery and Tack	Sum to be Insured (£)
D. Trailers	Sum to be Insured (£)
E. Personal Accident	None Scale 1 2
F. Legal Liability
If you wish to supply additional or request further information, please enter this here:

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