Business Name:
Entity to be Insured: Contact Name: City: State: TEXAS Zip Code: Phone #: Ext #: Fax: Email Address: (Required) How to Contact You: Event Location and Date(s): Event Address: Event City: State: TEXAS Event Zip Code: Type of event(s) to take place: Entertainment Sporting Event Exhibition Fair Festival Trade Show Consumer Show Wedding Other Special Event Date(s) of Event (REQUIRED INFORMATION): General Event Information: Will admission be charged: Will there be other charges or fees: If Yes, list types of additional charges: Expected attendance # (REQUIRED INFORMATION): Will alcohol be served: If Yes, served by employees or volunteers: Will additional insureds be named on this Special Event Insurance: Additional Information or Comments Click on the "Submit Quote Information" button below to send your Texas Special Event Insurance quote request.** **Information received from this Texas Special Event Insurance quote request form sent to Barhorst Insurance Group, will be for our use only and will not be sold, given to or distributed to any other parties. A quote will be based on the special event insurance policy information provided and does not guarantee acceptance of the risk by us. The precise coverage afforded is subject to meeting underwriting guidelines, and the terms, conditions and exclusions of the policy as issued. By submitting this request you acknowledge that this is neither an offer to insure nor a guarantee of insurance. Completion of this form does not entitle your business to a Texas Special Event Insurance Policy. We are licensed in Texas and will not provide quotes for other states.
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