About you

Please answer the following questions to obtain a quotation.

Please correct the following:

Your Activities

What is your profession / main business activity?

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As you have selected 'OTHER' as your activity, please enter the activity below.

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Please enter your OTHER activity Please specify your activities

Please enter a percentage breakdown of income generated by each activity

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What kind of business are you?

Self employed/sole trader Partnership Limited company

Including you, how many directors or partners work in your business?

Do you have any employees?

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How many employees undertake manual work in your business (excluding you and any directors/partners)?

How many employees undertake clerical (non-manual) work only in your business (excluding you and any directors/partners)?

Title

First name

Surname

Email address

Phone number

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