Robert Sterling Ltd


Complete this form for a no obligation quotation. Once we have received your information on-line, we will acknowledge its receipt. One of our staff will then contact you by telephone to go through the details provided and supply you with a written quotation in the normal post.
Address Details

	Your Name:	County:
	Your Address:	Post Code:
	Your Address:	Telephone:
	Town/City:	Your Email Address:

Property Details

	Postcode of property to be insured	Type of house:
	Year built:	Policy option:
	No of bedrooms:	Had a claim in the last 3 years?

Contents

	Cover required	Daily Occupancy
	Accidental damage	N'Hood watch
	Security	Smoke Alarm
	Voluntary excess

Personal possessions

	Cover personal property	Cover Pedal Cycles
	Cover Specified items

Buildings

	Cover required	Voluntary excess
	Accidental damage	Stone built

Family legal protection

	Cover required
	Occasionally we may tell you about other products or services being offered that we believe may be of interest to you. If you would prefer not to receive this carefully selected information please tick this box