2015 NWOA Single page Combined

COMBINED WOODLAND AND
HUNTING LEASE LIABILITY INSURANCE
INSURANCE APPLICATION: FOR COMBINED
WOODLAND OWNERS AND HUNT CLUBS ONLY
If you wish to purchase the Combined Woodland & Hunting Lease Liability Insurance
you must fill out the Hunting Lease Liability application and the Woodland Liability
application and then use the formula below for your calculations.
(this is for one landowner leasing all of his/her property to one club)
Premium Calculation - COMBINED Woodland Liability and Hunting Lease Liability Insurance
Number of acres to be covered
x .40 cents per acre =
(Includes fire damage liability on hunting lease insurance)
$210
minimum
(subject to a minimum premium of $210 for up to 525 acres)
For your convenience, you may add your NWOA membership fee
($35/year $45/year sustaining)
Total Payment Due:
Please Specify Effective Dates:
January 1, 2016 to January 1, 2017
April 1, 2016 to April 1, 2017
July 1, 2016 to July 1, 2017
October 1, 2016 to October 1, 2017
Send signed form with check payable to NWOA to:
National Woodland Owners Association
374 Maple Ave E, Suite 310; Vienna, VA 22180
Coverage is subject to approval by Outdoor Underwriters, Inc. Applications received will be effective upon approval and expired according to policy terms.
IMPORTANT NOTICE
All questions relating to insurance coverage should be directed to Outdoor Underwriters, Inc. at 866-961-4101.
Questions concerning NWOA membership status should be directed to NWOA at 703-255-2700 or
info@woodlandowners.org.
Allow two weeks for processing.
Checks must be written to NWOA
MAIL ALL CHECKS AND FORMS TO:
National Woodland Owners Association
374 Maple Ave E, Suite 310
Vienna, VA 22180-4751
703-255-2700
NWOA-2016 Spring