WeddingShield by Cook Insurance Group quote information Question Title * 1. Bride's name (First & Last) Question Title * 2. Groom's name (First & Last) Question Title * 3. wedding date Date / Time Date Question Title * 4. Your phone number Question Title * 5. Your email address Question Title * 6. number of guests Question Title * 7. name of ceremony venue Question Title * 8. city of ceremony venue Question Title * 9. name of reception venue Question Title * 10. city of reception venue CORE COVERAGE Level Premium Cancl/postpone Addtl Exp Video/Photo Gifts Attire Jewelry Deposits 1 $160 $7,500 $1,500 $1,500 $1,000 $,1500 $1,000 $,1000 2 $210 $1,500 $3,000 $2,000 $1,500 $2,000 $1,500 $1,500 3 $255 $2,500 $5,000 $2,500 $2,000 $2,500 $2,000 $2,000 4 $300 $3,500 $7,000 $3,000 $2,500 $3,000 $2,500 $2,500 5 $355 $50,000 $10,000 $3,500 $3,000 $3,500 $3,000 $3,000 6 $500 $75,000 $15,000 $4,500 $4,000 $4,500 $4,000 $4,000 7 $615 $100,000 $20,000 $6,000 $5,500 $6,000 $5,500 $5,500 8 $735 $125,000 $25,000 $7,500 $7,000 $7,500 $,7,000 $7,000 9 $870 $ 150,000 $30,000 $9,000 $8,500 $9,000 $8,500 $8,500 Higher limits may be available with underwriting approval. Travel advisory for Mexico: Core Coverage levels 1-9 available in applicable areas. Question Title * 11. Choose level from above Level 1 Level 2 Level 3 Level 4 Level 5 Level 6 Level 7 Level 8 Level 9 Question Title * 12. Choose Level of Liability coverage $0 - Liability coverage is not desired. $75 - $500,000 per Occurrence/$500,000 General Aggregate Liability with Property Damage included in the occurrence limit $100 - $1,000,000 per Occurrence/$1,000,000 General Aggregate Liability with Property Damage included in the occurrence limit $160 - $1,000,000 per Occurrence/$2,000,000 General Aggregate Liability with Property Damage included in the occurrence limit $213 - $2,000,000 per Occurrence/$2,000,000 General Aggregate Liability with Property Damage included in the occurrence limit Higher liability limits may be available with underwriting approval. Please contact us for additional information. Question Title * 13. Is liquor going to be served yes no Question Title * 14. Bungee operations/equipment; dunk tanks; fire pits/bonfires; fireworks/pyrotechnic devices (incl. hot sparklers & sky lanterns); inflatable recreational devices (incl. bouncy houses); live animals/petting zoos; mechanical amusement devices/rides; participatory sporting events; or swimming/watersports. YES NO Question Title * 15. If 14 is YES explain type of special activity else state NONE Question Title * 16. Will your rehearsal occur within 48 hours before your wedding, if so it can be included. Would you like it included? Yes No Question Title * 17. If 16 is YES add name and city of rehearsal venue else state none Question Title * 18. If your rehearsal dinner occurs within 48 hours of the wedding it can be covered as well. Would you like it covered? Yes No Question Title * 19. If 18 is YES add the name and location of the dinner else state NONE Question Title * 20. If your brunch occurs between 9:00 AM and 3:00 PM the day after your Event Date, it can be included. Would you like it covered? Yes No Question Title * 21. If 20 is YES add the name and location of the brunch else state NONE Question Title * 22. Are you using an Event Coordinator? Yes No Question Title * 23. If 22 is YES add the name and email of the coordinator else state NONE Done