W
elcome
to Holman Insurance Brokers on-line Private Collections Insurance quick quote page. Please ensure you complete the form as accurately as possible in order to ensure the best possible estimate. If you would rather speak to one of our sales representatives, please call us at (905) 886-5630 or 1-800-567-1279.

Completion of this form is for informational purposes only, and is just an estimate.
This WILL NOT result in a new policy, or change to an existing policy.

* Required Fields

Contact Information
Company Name*
Contact First Name*
Address*
Contact Last Name*
City*
Phone*
Province*
Phone 2
Postal Code*
Fax
Web Site
E-Mail*
Please specify your preferred method of contact:
Phone Email
Insurance Information
Are you presently insured? If yes, what company?* (enter "none" if answer is no)
Policy Number* (enter "none" if you do not have a policy number)
Expiry Date
What is your current annual premium?
$
Why are you looking for a new insurer or broker?
Coverage Information
What is the estimated total value of the stock you want insured?
$
Please check all art and collectibles in your stock:
Antiques
Ornaments
Autographs / Manuscripts
Paper Collectibles
Books
Postcards
Bottles / Glass / Crystal
Posters
Ceramics / China
Prints
Clothing / Textiles
Records / CD's
Comics
Sports Memorabilia
Currency
Stamps / Postal History
Dolls
Stock / Bond Certificates
Guns / Firearms
Toys
Knives / Edged Weapons
Trading Cards
Limited Edition Collectibles
Other
Military Memorabilia
Other
Model Trains / Cars
Other
Movie / TV Memorabilia
Other
Please specify how / where you sell your stock:
Auctions
Mall
Broker
Office
eBay
Shows
Flea Market
Store
Home & Mail
Wholesale
Internet & Mail
Other
Claims History (Please provide as much information as possible for any past claims)
Claim
Date of Claim
Claim Payout
Details of Claim
1
2
3
Additional Comments



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Thank You

Thank you for trusting Holman Insurance Brokers Ltd. for your insurance needs, one of our representatives will contact you soon with your quote!




Private Collections Quote