ProductionInsurance.com
  A Service of Supple-Merrill & Driscoll, Inc.

 

   

 

 Wedding Cancellation Application Instructions

  1. Please complete and submit this online application for a free, no-obligation quote.

  2. Please be sure to provide all required information in order to receive a quotation.

  3. Wedding coverage cannot be quoted less than 14 days prior to the wedding.

 

  Program Information

This is a secure application.  Strong cryptography is implemented via the Secure Sockets Layer protocol.  Our Privacy Policy.

  PDF Application (Fillable)

 
 

( indicates required information)

Applicant Information

Name of Company / Organization:
Entity:

Full Name of Contact:
Number:
Fax:
Street Address:
City:
State, Zip Code:

Email:

(We will never rent, sell, or share your email address)

Website:
Applicant Type:

 

Bride & Groom Details

  First Name Last Name Occupation Birth Date Drivers License U.S. Resident
Bride Yes  No
Groom Yes  No

 

Ceremony Location
Wedding Date:
Number of Guests:
Cost of Wedding:
(Maximum Cost $1,000,000)
Venue Name:
Address:
City:
State, Zip Code:
Ceremony Location: Indoor  Outdoor
Wedding Take Place on a Cruise Ship: Yes  No

 

Reception Location
Reception Date:
Venue Name:
Address:
City:
State, Zip Code:
Reception Location: Indoor  Outdoor

 

Inland Marine

Cancellation, Abandonment & Postponement:

Extended Territory:
Optional Extended Policy Territory means the United Kingdom, Mexico, Bermuda and the Caribbean Islands (Excluding Cuba) and cruise ships leaving from a port within these territories.

 

Personal Liability

Occurrence / Aggregate Limit:

Host Liquor:
Host liquor provides coverage when the insured provides alcohol for their guests. This coverage does not apply if the alcohol is for sale.

 

 

Terms and Conditions

Please carefully review the Terms and Conditions below:

  • Please read all exclusions indicated on quotation.

  • The quotation received is not binding on the Insurer in any way.

  • By clicking 'Submit Application' you are not agreeing to purchase coverage.  Via email, you will receive a free, no-obligation insurance quotation.

  • Any person who knowingly and with intent to defraud any insurance company or another person files an application for insurance containing any materially false information, or conceals for the purpose of misleading information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime and subjects the person to criminal and (NY: substantial) civil penalties. (Not applicable in CO, HI, NE, OH, OK, OR, VT). In DC, LA, ME, TN and VA, insurance benefits may also be denied.
  • Please note that once coverage is bound, the policy cannot be cancelled.

  • The insurance quotation will be based solely on the coverages and limits selected on this application.

  • Please ask your Supple-Merrill & Driscoll, Inc. representative to explain coverage details, exclusions, limits or other provisions of any insurance policy.

Type your name below, to indicate that you have read

and accepted the Terms and Conditions above:

 

 

 

  

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ProductionInsurance.com is the entertainment division of Supple-Merrill & Driscoll, Inc.  California License 0517777.

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