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Policy Details
Cover	Salonserve Pro Salonserve Starter
Optional Extras - Money
Limit	None £500
Optional Extras - Equipment
Limit	None £2000 £5000
Optional Extras - Advanced Electrolysis and Cartilaginous Piercing
	No Yes
Start Date
Policy to start	04 February 2012 05 February 2012 06 February 2012 07 February 2012 08 February 2012 09 February 2012 10 February 2012 11 February 2012 12 February 2012 13 February 2012 14 February 2012 15 February 2012 16 February 2012 17 February 2012 18 February 2012 19 February 2012 20 February 2012 21 February 2012 22 February 2012 23 February 2012 24 February 2012 25 February 2012 26 February 2012 27 February 2012 28 February 2012 29 February 2012 01 March 2012 02 March 2012 03 March 2012 04 March 2012 05 March 2012
Policy Total (including Insurance Premium Tax)
Total	£36.50
Personal Details
Title	Miss Mrs Ms Mr
Forename		Surname
	Enter your correspondence address here. You will be covered for work you undertake within the United Kingdom.
Address 1
Address 2
Address 3
Postcode
	You must be aged 16 years or above at the start of the policy.
Date of birth	- 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th 13th 14th 15th 16th 17th 18th 19th 20th 21st 22nd 23rd 24th 25th 26th 27th 28th 29th 30th 31st / - Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec / - 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932
	This is the email address where your certificate will be sent. We will also use this to contact you for renewal. Please type carefully
E-mail
Daytime tel
	If you have a promotional code please enter it here
Promotional code

Statement Of Fact

To apply for this insurance you must be resident and work in the United Kingdom and are aged 16 years or more at the time the policy is due to start.

By continuing with this application you are confirming that:

• You have not suffered any claims on this, or any other insurance policy for Hairdressers and/or Beauty Therapists in the past 5 years or since you started trading, whichever is the most recent.
• You do not have any convictions, criminal offences or prosecutions pending other than motor offences.
• You have never been declared bankrupt/insolvent, or the subject of bankruptcy proceedings.
• You have never had an insurance proposal refused or declined or ever had an insurance cancelled, renewal refused or had special terms imposed.
• You conduct treatments in accordance with best practice recommendations as prescribed by qualifications from a recognised UK training body, company or product manufacturer.

Check here to confirm you have read and agreed the above Statement of Fact as this will form the basis of your contract with Insurers

* the help tips on this page are for guidance only. For full details of terms and conditions please view the specimen policy schedule and specimen policy wording.