It's Simple to Get a No-Obligation Quote

If you are interested in receiving a free, no obligation quote, please complete the following form and click "Submit", or click here to download the PDF version and fax it to (905) 639-6962.

Web Publications can also apply with the form here.

For assistance please call (905) 693-8720 ext. 4434.

Are you currently insured? * Yes
No
If yes, when does your policy expire?
Contact Name *
Name of Owner/Parent Company *
Address *
Town/City *
Province *
Postal Code *
Phone *
Fax *
Email *
Will website coverage be required? * Yes
No
Masthead Title *
Circulation *
Publication Frequency *
Avg. Number of Pages *
Publisher/Editor *
Type of Publication * Newspaper
Magazine
Inserts
Other
If Other, please describe
Please list any trade associations or groups of which you are a member *
  

Completion of this application does not bind CNRIE to provide the insurance requested.