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DICE Annual Production Insurance Quote

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Dear customer we ask that you fill out the detailed quote form below so we can provide you with the fastest and most accurate quote. If you are tight on time, then please fill out the quick quote form or call us and we will still try to give you the most accurate quote we can.

Frankel & Associates Annual Film Production Application
Company/Individual Information
Company Name *
Entity Type *
Country of Residency/Registration *
Address (No P.O. Boxes) *
City *
State *
Zip Code *
Contact Person *
Contact Phone *
Email *
Will the production inslude any Hard-Core or Soft-Core pornography?
Will the production include any live gangster rap music?
Will any production activities take place outside of the U.S. and Canada?
Any unprotected or open heights above 15 feet?
Will any production include stunts, pyrotechnics, aircraft, boats, animals, race tracks, race courses, helicopters, motorbikes, snowmobiles, ATV?s, blanks, squibs, guns or other hazardous activities?
Any employees supplied to or from an employee leasing operation (i.e. PEO)
Do you enter into any co-production arrangements?
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