Seasonal Name: Address: City: Province: Postal Code: Phone number: Email: Date of Birth: Calendar Home #1Do you own your own home or a condo unit: Homeowner Condo Owner Renter Estimated replacement value of dwelling (homeowner only): Policy deductible preferred: $1,000 $500 $300 Liability amount requested: $2,000,000 $1,000,000 Have you had any personal property claims in the past three years: YesNo Home #2Do you own your own home or a condo unit: Homeowner Condo Owner Renter Estimated replacement value of dwelling (homeowner only): Policy deductible preferred: $1,000 $500 $300 Liability amount requested: $2,000,000 $1,000,000 Have you had any personal property claims in the past three years: YesNo Home #3Do you own your own home or a condo unit: Homeowner Condo Owner Renter Estimated replacement value of dwelling (homeowner only): Policy deductible preferred: $1,000 $500 $300 Liability amount requested: $2,000,000 $1,000,000 Have you had any personal property claims in the past three years: YesNo