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Horse Insurance Quote

You can either complete the form online, alternatively download a form for completion and return it to us by email, post: PO Box 229, St Ives, NSW 2075, or fax to +61 2 9988 3849.

If a quote is required for more than one horse, the online quotation request should be completed and submitted separately for each horse, otherwise email a list to enquiries@e-quine.com.au and we will contact you.

REQUEST A QUOTE FOR HORSE INSURANCE

Owner Name *
Contact details:	Phone *
	Mobile
	Fax
	Email *
Name of Horse *
Age/date of birth of Horse *
Gender of Horse*
Sire *
Dam *
Declared use of Horse*
Sum Insured/ Nominated Mortality & Theft Value (AUD)*
Location of Horse (if in Australia, State or Territory)*
Is the Horse presently insured?*
Detail any pre-existing injury or illness*
Owner's loss record in the last 3 years, whether insured or uninsured*
Are you interested in Premium Funding?*

A representative of E-Quine Insurance Services will contact you shortly. Thank you.
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