Investment Property Form
Your Details
Full name: (incl Title)
*
Contact telephone number:
*
Email address:
*
Property Details
Property address:
*
Postcode:
*
Commercial or residental:
*
Please select
Commercial
Residential
Annual rent:
Year built:
*
Walls:
*
Please select
Brick
Brick veneer
Fibro
Weatherboard
Wood
Insurance Requirements
Please use this box to provide any further information that may be relevant to your Investment Property Insurance policy:
Current Investment Property Insurance policy provider:
*
If none, please state
Current Investment Property premium:
*
If none, please state
Renewal date of existing insurance / date cover to start (as applicable):
*
NB: Cover is not in force until agreed upon by the company
Contacting You
Are you an existing Bruce Insurance customer?
*
yes
no
Preferred contact method:
*
Please select
Telephone
Email
Letter
Preferred contact time:
Please select
No preference
08:00-10:00
10:00-12:00
12:00-14:00
14:00-16:00
16:00-18:00
How did you hear about us?
*
Please select
Google search
Referred by friend
Referred by another business
Referred by another website
Search engine
Advertising