Note: more than one can be ticked
Note: Two or more stalls at the same time will incur an extra charge.
Note: Please provide product details below. Products Liability for non-food items may
incur an extra charge.
Employers Liability is quoted separately.
DATA PROTECTION: The information you provide about yourself and about third
parties will remain confidential and may be used for the provision and administration
of insurance products and related services. This information will be processed and
held on the computer systems of MAST, Frank Glennon Ltd or Hiscox SA and manual
record systems. A person may request in writing, a copy of details about
himself/herself held by MAST, Frank Glennon Ltd or Hiscox SA by sending a written
request to the Data Protection Compliance Officer, The Observatory, 7-11 Sir John
Rogerson’s Quay, Dublin D02 VC42 together with payment of the applicable fee
(currently €5). There is also a right to correct any inaccuracies identified in the
DECLARATION: I/We declare that the statements and particulars given in this
Membership Application are, to the best of my/our knowledge and belief, true and
complete and that this Membership Application will form the basis of my/our
contract for Membership Insurance Benefits with Hiscox SA. I/we confirm that I/we
am/are giving my/our permission for the information provided in this form to be
used for the purposes set out in the Data Protection section above.
Please confirm your agreement by typing your name and the date:
Please note that the details you are being asked to provide may be used to give you
information about other products and services from either Hiscox SA or Frank
Frank Glennon Limited, trading as “Glennon” and “Glennon Insurances is regulated by the Central Bank of Ireland.
Glennon Ltd. The fact that you choose not to receive such information will not affect
any aspect of the facilities provided now or in the future.
Frank Glennon Limited, trading as “Glennon” and Glennon Insurances” is regulated
by the Central Bank of Ireland.