Your Name*
Email*
Phone*
Address
Wedding Date
Number of Guests
How much are you spending on your big day?
Ceremony TypeIndoorOutdoorBoth
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Ceremony Venue
Ceremony Address
Type of VenueChurchHotelRestaurantCountry ClubBeach / WaterfrontVineyard / BreweryMuseumOther
Do they need to be listed as additional insured?YesNo
Reception Venue
Reception Address
Are you working with an Event Planner? If yes, please provide their Name, Email & Phone #
Will the event end by 2am? YesNo
Will BYOB or self-service of alcohol be permitted?YesNo
Will professional bartender be used for serving of alcohol?YesNo
Will spectators be permitted in the water if there is water nearby?YesNo
Will the event feature firearms?YesNo
Will it feature overnight camping or dormitory stays on the premises? YesNo
Will the event feature fireworks?YesNo
If so, will it be conducted by a third party who carriers General Liability Insurance limits of at least 1,000,000/2,000,000 per occurrence? YesNo
Will the third party name you as additional insured?YesNo
Will the fireworks display be discharged at a minimum of 75 feet away from spectators? YesNo
Do you need set-up or take-down coverage?YesNo
Rain Date coverage? YesNo
Rehearsal dinner coverage?YesNo
Wedding breakfast/brunch coverage in addition to wedding coverage?YesNo
Do you want coverage for: Cancellation / PostponementEvent Photos & VideosGiftsAttireJewelryLost Deposits
