Market Organisers Application Form

IOMST is Irelands largest and most established market, event, entertainers /performers, classes membership organisation.  In conjunction with Insurers, AIG and Brokers, Richardson Insurance Solution DAC, membership of IOMST provides access to our public/ product & employers liability scheme which provides the widest level of cover available.

Simply call us on 01-8360945       Email info@iomst.ie             Or fill in our application form below.

All insurance is placed by Richardson Insurance Solution DAC and underwritten by AIG Europe S.A

    Please select type of membership

    Please complete all fields.:

    Proposed Member Details (Organisers)








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    Market Details



    If yes, please provide the name and address of the insurer and the renewal date of the policy.

    Name: Expiry Date:

    If other, please advise.

    If other, please advise.

    If you know the date you would like cover to be effected from, please advise.
    Please note cover cannot be back dated.

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    Details


    If yes, please give details.

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    Amusements & Attractions

    *

    *

    *

    If yes, please note that the above are not covered by this proposed insurance. If any of the above will be provided at your market/event we would require insurance certificates from the owners and engineers report for each ride/attraction.

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    Declaration

    Public Liability

    Products Liability – food and drink products only

    Non-food Product Liability- for non-food Products (available only with Public Liability)

    Products Liability is available for other products. Please provide full details so this can be considered.

    Employers Liability (not included in cost of Public Liability)

    If yes, please state the maximum amount of employees/helpers at any one time. (cover is recommended).


    If yes, please provide details.


    If yes, please provide details.


    If yes, please provide details.

    Our limit of indemnity for Employers Liability is € 13,000,000.
    Our limit of indemnity for Public or Products Liability is € 13,000,000.
    Products Liability €13,000,000 automatically applies to food and drink.
    Other products can be included where agreed by insurers.

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    I/we declare that the statements and particulars given in this proposal are, to the best of my/our knowledge and belief, true and complete and that this proposal will form the basis of my/our membership of IOMST.*Please Agree to Proceed

    I/we confirm that I/we am/are giving my/our permission for the information we provided in this form to be used for the purposes set out in the Data Protection section https://www.iomst.ie/iomst-privacy-policy .

    Please note that the details you are being asked to supply may be used to provide you with information about other products and services from third parties. The fact that you choose not to receive such information will not affect any aspect of the facilities that are provided to you now or in the future.

    Please note:
    Your quotation will be sent via email to the email address supplied above, generally within an hour of receipt of your details (during business hours). Please ensure you check your email junk/spam folder in addition to your inbox for your quotation details. If you have not received any correspondence, please get in touch and we will resend.

    Make sure you tick the, i/we buttons above to submit

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