Orange Insurance & Bonding Personal & Small Business Insurance Agency & Brokerage.

Orange Insurance LLC BBB Business Review

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Rates as Low as $75/year!
Insure everything for your band, studio or personal use
!

Guitar, Bass, Drum, Keys
Violin, Viola, Cello
Trombone, Trumpet, Saxophone
Amplifiers, Speakers, Monitors
Consoles, Processors, Effects
Any & All Other Instruments
Accessories, Cables, Computers
Agreed Value

Owner & Instrument/Equipment Information:

Instrument or Equipment Owner's Name:

Is this for:
Individual Band Orchestra Studio

Band or Studio Name (if applicable):

Type of Instrument or Equipment (#1):

Brand or Make of Instrument or Equipment (#1) (Gibson, Fender, Neve, etc.):

Model or Style of Instrument or Equipment (#1) (Les Paul, Stratocaster, 5088, etc.):

Year of Instrument or Equipment (#1) (1952, etc.):

Estimated Value of Instrument or Equipment (#1):
$

Type of Music Primarily Played with this Instrument or Equipment (#1):
Non-Classical/Rock/Pop Classical/Orchestra

Type of Instrument or Equipment (#2):

Brand or Make of Instrument or Equipment (#2) (Gibson, Fender, etc.):

Model or Style of Instrument or Equipment (#2) (Les Paul, Stratocaster, etc.):

Year of Instrument or Equipment (#2) (1952, etc.):

Estimated Value of Instrument or Equipment (#2):
$

Type of Music Primarily Played with this Instrument or Equipment (#2):
Non-Classical/Rock/Pop Classical/Orchestra

Type of Instrument or Equipment (#3):

Brand or Make of Instrument or Equipment (#3) (Gibson, Fender, etc.):

Model or Style of Instrument or Equipment (#3) (Les Paul, Stratocaster, etc.):

Year of Instrument or Equipment (#3) (1952, etc.):

Estimated Value of Instrument or Equipment (#3):
$

Type of Music Primarily Played with this Instrument or Equipment (#3):
Non-Classical/Rock/Pop Classical/Orchestra

Primary Physical Address of Instrument (P.O. Boxes Not Accepted):

City:

State:

Zip Code:

Phone Number:

Email Address:

Are You Over 18?:
Yes No

Are You a Member of Any Musicians' Association(s)?:
Yes No

Do You Subscribe to any Music Trade Magazine(s)?:
Yes No

Do You Own The Instrument(s) or Equipment Being Scheduled on the Application?:
Yes No

Are You The Primary User of The Instrument(s) or Equipment?:
Yes No

Are Your Instrument(s) or Equipment Ever Exhibited?:
Yes No

Do You Ever Leave Your Instrument(s) or Equipment In a Vehicle or Trailer Overnight?:
Yes No

Do You Buy and/or Sell Instruments or Equipment More Than One Time Per Year?:
Yes No

Do You Have an Appraisal/Bill of Sale Less Than 4 Years Old for Each Instrument or Piece of Equipment Over $25,000?:
Yes No

Are The Instrument(s) or Equipment Stored in a:
Bank Vault Premise Safe Neither

What is The Premise Protection Where The Instrument is Stored?:
Local Alarm Concierge Private Security Central Station Alarm None

Indicate The Type of Venue in Which You Play:
Bar Nightclub Restaurant Symphony/Orchestra School Private

How Many Years Have You Owned Professional Musical Instrument(s) or Equipment?:

How Many Years Have You Been a Professional Musician?:

How Many Times a Year Do You Ship an Instrument or Equipment via a Common Carrier (FedEx, UPS, etc.)?:

How Many Days Per Year Do You Travel With Your Instrument or Equipment?:

If You Have a Recording Studio - Is The Recording Studio Located in a:
Commercial Building Private Residence

If You Have a Recording Studio - Do You Take Instrument(s) or Equipment Away From The Studio?:
Yes No

If You Have a Recording Studio - Is The Recording Studio Located Below Ground Level?:
Yes No

Additional Information:

Additional Comments:

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