Skip to content
Home » Application


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 personal data. 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 type your name
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.