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* 1. What description best fits you or your organisation:

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* 2. On what date did you renew your insurance? If you renewed prior to the 26th April, please do not complete this survey. 

Date

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* 3. What is the cost of your renewed premium?

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* 4. How much was your previous premium?

Thank you! Your information will help make our campaign even stronger.

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* 5. Please give us your contact details. This is for verification or clarification purposes and will not be divulged to any other party without your explicit permission.

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* 6. Any further comments regarding any of the issues we have raised?

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