Insurance Valuation Certificate Quote Request

Client Details
Company/Trust/Client name:*
Contact Name (if company)
FirstLast
Postal Address
Email*
Contact Phone Number*
Adviser Details
Insurance People Adviser:*
FirstLast
Email*
Property Details
Property to be valued*
Square Metres
- Under 150
- 150 – 350
- Over 350
Contact for access*
Need to add another property?
- Yes
Property #2 to be valued
Square Metres
- Under 150
- 150 – 350
- Over 350
Contact for access*
Need to add another property?
- Yes
Property #3 to be valued
Square Metres
- Under 150
- 150 – 350
- Over 350
Contact for access*
Request for…*
- Quote
- Valuation
Bill Payer
- Client
- Other (please specify)
Please specify
Send Quote to…
Email to
- Insurance People Adviser
- Other (please specify)
Please specify
Send Valuation to…
Post original to:
- Client Postal Address
- Other (please specify)
Please specify
Post copy to
- Insurance People F&G, PO Box 47218 , Ponsonby, Auckland
- Other (please specify)
Please specify
Email to
- [email protected]
- Other (please specify)
Please specify
Comments

Client Details