Quotation Form
Please Note: Downhill Bicycles Not Insurable
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* I hereby declare that the information in this application and statement of values is, to the best of my knowledge and belief, true and accurate in every respect and that no fact, circumstance or hazard that could effect the acceptance of my application has been withheld. I confirm that this application and declaration shall be the basis if the contract between Zurich Insurance and myself.

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Riccardo Stermin Authorised Financial Services Provider. Phoenix Risk Solutions FSP 10150