Renew : Western Bowling Proprietors Insurance

Renew

Download the WBPI Renewal Receipts Form or fill in the form below.

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WBPI Renewal Form

Center Name *

Location *

Contact Person *

Title

Phone *

Email Address

Fax

1. Estimated gross receipts from bowling (Includes shoe rental, locker rental, and all other rental income) *

2. Estimated gross receipts from food sales

a. If the restaurant or snack bar is leased, what is the square footage of each?

3. Estimated gross receipts from Liquor sales *

4. Estimated gross receipts from Pro-Shop

a. If Pro-Shop is leased, what’s the square footage?

5. Estimated Gross Receipts from arcades

6. Estimated Gross Receipts in any of the categories below?

Laser Tag

Miniature Golf

Volley Ball Courts

Bumper Cars/Go-cart Tracks

Rock Climbing Walls/Games

Gambling Operations

Batting Cages

Other

Have you added any new features, attractions, or exposures to your business since last year? (Example: Formerly Owned Pro-Shop is now leased; a play structure has been installed; a poker room was opened) If Yes, Describe: *

Owner/Officer’s Printed Name