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Request A Wedding Insurance Quote

Please fill in the following information and an agent will contact you within the next two business days.

Policy Holder Information (person buying the policy)

Name

Address

City/State/Zip


Phone

Email Address

Wedding Date (mm/dd/yyyy)

Relationship to wedding couple

How much do you plan to spend on your reception venue?

How much do you plan to spend on the wedding dress?

How much do you plan to spend on a photo/videographer?

How much do you plan to spend in deposits for other products/services (entertainment, catering, transport, etc.)?

 

Many reception venues require couples to carry liability coverage. Liability coverage can protect
you in case of lawsuits resulting from:

  • Injury to a wedding guest
  • Damage to property

Do you want to add $1 million liability coverage?

 

Do you want to add $1 million liquor liability coverage? (Note: This coverage is only available in addition to standard liability)

Yes, I would like to add liquor liability coverage
      No, I do not wish to add liquor liability coverage
Wedding Party Information

Bride Name

Bride Email

 

Groom's Name

Groom Email

Ceremony Venue Information

Location Type (Church, Hotel, Restaurant, etc):

Name of Venue:

Venue Address

City/State/Zip


Venue Setting:
Indoor
Outdoor
Both

Would you like this venue listed as additional insured?

Yes
      No

Approximate Number of Guests

Reception Venue Information (complete only if different from Ceremony Information)

Location Type (Church, Hotel, Restaurant, etc):

Name of Venue:

Venue Address

City/State/Zip


Venue Setting:
Indoor
Outdoor
Both

Would you like this venue listed as additional insured?

Yes
      No

Approximate Number of Guests
Are you using a Wedding Planner/Coordinator?
Yes       No

If yes, Name:

Address

City/State/Zip


 

Which office is most convenient for you?
Burlington
Stowe
St. Albans
Lyndonville
Montpelier
Waterbury

Once our agency has received your information we will contact you to prepare a quote.

 

 

Hickok & Boardman, Inc. PO Box 1064 Burlington, VT 05402 | t/802-658-3500 f/658-0541
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Hickok&Boardman, Inc.
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Montpelier
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