EKF Members' Insurance EKF Members' Insurance Full Name of Association or Club* Full Name of Licencing officer* Address* Street Address Address Line 2 City County Post Code Email* Phone*Number of Members to be Insured*Premium is £2.80 per memberProduct NameEnter First Name, Surname and Date of Birth of each member to be Insured*Your premium is: £ 0.00 Premiums include insurance premium tax at 12% Date cover is required* DD slash MM slash YYYY Activities are Karate only?*(cover excludes the use of live/sharp blades) Yes No Please phone us on 01603 626904 as this will need to be agreed in advanceAny previous claims?* Yes No Please phone us on 01603 626904 as this will need to be agreed in advanceI confirm that the Association/Club and students are Current members of the EKF and that the information Provided is correct at the time of submission* I confirm I have read, understood and agree to your terms & conditions* I agree Read our Terms & Conditions Credit CardCard Details Cardholder Name CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.