Name:*
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Risk Address:*
Type of Insurance:*
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Once you have submitted this form a reprentative with contact you to discuss quotes and the best possible solution for your Insurane needs

Khan Isurance Services
103 Oldham Road, Rochdale,
Lancashire
OL16 5QT

Tel: 01706 658705

Fax: 01706 357 000

For quotations over the phone please dont hesitate to contact us or call in for more information.