Wedding Insurance

Name*

First Last

Future Spouse/ Fiance*

First Last

Email*

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

When is your wedding date?*

How many guests will be attending?*

Approximately, how much are you planning to spend on your wedding?

Select which level your budget is closest to.

Do you want to add liability coverage?*

Many reception venues require couples to carry liability insurance. Liability coverage can protect you in case of lawsuits resulting from injury to a wedding guest and/or damage to property.

$1,000,000 liability with $25,000 property damage
$1,000,000 liability with $250,000 property damage
$1,000,000 liability with $1,000,000 property damage
$1M/$2M aggregate liability with $25,000 property damage
$1M/$2M aggregate liability with $250,000 property damage
$1M/$2M aggregate liability with $1,000,000 property damage
No, I do not wish to have liability coverage

Where will the Ceremony be held at?*

Ceremony Venue Information*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Ceremony location type:*

Indoor
Outdoor
Both

List as additional insured?

Yes
No

Is your reception going to be held at the same venue/place as your ceremony?*

Yes
No

Where is your reception going to be held?*

Reception Venue Information*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Reception location type:

Indoor
Outdoor
Both

List as additional insured?

Yes
No

Is your rehearsal and rehearsal dinner scheduled more than 48 hours prior to your wedding?*

No, it is less than 48 hours before our wedding
Yes, it is more than 48 hours prior to our wedding.
We are not having a rehearsal & rehearsal dinner.

Where is your rehearsal and rehearsal dinner going to be held?*

Are you using a wedding planner/coordinator?*

Yes
No
Undecided

Name of wedding planner/coordinator?*

First Last

E-mail*

Phone*

Tell us more!

If there's anything else you'd like to tell us about your wedding/event feel free to here. Are you having anything out of the ordinary or any special performances?

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