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Wedding Details
Date of Wedding
Location
 
Optional Extras
Marquee Cover
Ceremonial Sword Cover  
Public Liability Cover
 
Gold Cover : €75.00
+ No Optional Extras

Total Cost €75.00
  for details of policy benefits please click here

 
Proposers Details
Full Name
Address
Email Address
Home Phone Number
Mobile Phone Number
Groom Details Bride Details
Firstname
Surname
DOB (dd/mm/yyyy)
 
Reception Details
Date of Reception
Location of Reception
 
Declarations
I confirm that the Bride or Groom (or both) is a resident of The Republic of Ireland
I confirm I have read and understood the privacy statement and the terms of business

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Hastings (Westport) Ltd t/a Hastings Insurance Brokers, Irishweddinginsurance.ie & Mytravelinsurance.ie is Regulated by the Central Bank of Ireland.