Business Design Centre
52 Upper Street
Islington
London
N1 0QH

T: (44) 020 7288 6003
F: (44) 020 7288 6004
e: info@briffa.com

Sign-Up for BrandProtect Insurance

You can email us using this form to request BrandProtect Insurance. By ‘you’ or ‘your’ we mean the person to be insured who is the person who owns the copyright to be protected whether that is an individual or company – by your putting a company name in field 2 we will assume it belongs to the Company.

Contact Name:
Business Name:
Position in business:
Type of Business:
Address 1:
Address 2:
Town/City:
County:
Postcode:
Telephone:
Mobile:
Fax:
Email:
Which trade mark/s do you wish to protect (Please give name/logo and Registration Number)?
Are you a citizen of or ordinarily resident in the UK or a company incorporated in the UK?	Yes No
Do you have any other insurance that might protect you in relation to legal actions (consider the terms of any general household and/or credit card insurance you might have and, if you believe you do or even might, please provide copies).	Yes No
Are you aware of any existing infringements of your trade mark/s?	Yes No
Tell us anything else you think is relevant:

We understand that you own works and require insurance in relation to civil legal actions in the UK (other than against a co-owner) for infringement relating to copyright and design rights in those works. Provided you have acted reasonably design protect insurance will provide insurance against such risk of up to 90% of your legal expenses up to the relevant limit of indemnity specified.

On submission of this form we will send you a welcome pack which includes details of the insurance together with terms and conditions and our invoice for the premium. Your insurance protection commences on our taking over as agent of your trade mark registration on official registers together with payment of our invoice and only covers the registration from the time the premium is paid. On payment of our invoice you thereby agree to the terms and conditions of the insurance policy as set out in the welcome pack.

If upon receipt of the welcome pack you for any reason change your mind you have a right to cancellation before our invoice is paid in full. Please email BrandProtect.

The Data you have entered in this form may be stored and used for marketing purposes. BRIFFA is registered to process data under the Data Protection Act 1998 and will only do so fairly and securely. By submitting this form you agree to this use.

Briffa is not authorised by the Financial Services Authority. However, we are included on the register maintained by the Financial Services Authority so that we can carry on insurance mediation activity, which is broadly the advising on, selling and administration of insurance contracts. This part of our business, including arrangements for complaints or redress if something goes wrong, is regulated by the Law Society. The register can be accessed via the Financial Services Authority website at FSA.

We only deal with a product from HSBC Insurance Brokers Ltd for insurance contracts protecting trade marks and/or copyright/design rights but we are not contractually obliged to conduct business in this way.

BRIFFA
Intellectual Property and Information Technology Lawyers