Bike Shops Form

You are a few questions away from accessing Canada’s best bike shop coverage.

Start your quote with basic business details and we’ll dedicate a broker to complete your review and recommendations.

Registered business name and trade name (if applicable) *

Email *

Name *

Job title *

Business phone number *

Personal phone number

Business address (primary location) *

Apartment, suite, etc

City *

Province *

Postal Code *

Do you have any other locations (additional shops, storage, etc.)?YesNo

Current insurer *

Renewal/effective date *

Upload current policy documents for us to review

Drag and Drop (or) Choose Files

Annual revenue forecast (indicate calendar year or 12-month roll) *

bicyclebroker.ca is committed to protecting and respecting your privacy, and we’ll only use your personal information to administer your account and to provide the products and services you requested from us. From time to time, we would like to contact you about our products and services, as well as other content that may be of interest to you. If you consent to us contacting you for this purpose, please tick below to say how you would like us to contact you:

I would like to receive other communications from Bicycle Broker IncYesNo

You may unsubscribe from these communications at any time. For more information on how to unsubscribe, our privacy practices, and how we are committed to protecting and respecting your privacy, please review our Privacy Policy.

Consent *

I consent to allow bicyclebroker.ca to store and process the personal information submitted above to provide you the content requested.

Please do not fill in this field.

Bike Shops Form

You are a few questions away from accessing Canada’s best bike shop coverage.

Call Us

(+1) 877.621.6940 ext 5

Email

contact@bicyclebroker.ca

Less risk
More fun

British Columbia

Alberta

Ontario