Business Insurance

Quote Request Form

To contact us by Email, please fill in the following Form:
Items marked with * are required.

Your Name

Title:

Please select a title

First Name:

Please enter your first name

Surname(s):

Please enter your surname(s)

Company:

Trading Name:

Address:

House name/ Number:
(or “n/a”)

Please enter your house or apartment name/number. If you don't have a house or apartment name/number, please input 'n/a'.

Street:

Please enter the street, road, or townland you live on.

Town/City:

Please enter the town you live in.

County/City:

Please select the County or City you live in.

Postal code:

Please type in your postal code.

Telephone Number:

Please enter your telephone number.

Email:

Business Description

Please describe your business shortly.

Renewal date:
(where applicable)

Call Back

I would like to receive a call back: Yes No

Call Back Times Select the time of day suitable to receive a call back	AM
	PM
	Evening

Message:

Please provide us with details of your enquiry so we can appropriately address your query.

(Max of 2000 characters)

QUINN-group

Occasionally other QUINN-group companies would like to contact you with details of their products, services or similar. Can we share your contact details with them?

Allowed to pass details.
Not allowed to pass details.

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Benefits

We work in partnership with our policy holders.
We have a fast and efficient claims service which reduces cost resulting in lower premiums.
We pay up to 50% of policy excess to our liability policy holders who help us avoid legal costs.
We provide the highest levels of customer service with local representatives around the country.