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Martial Arts

Your Name:
Your Phone No:
Your Email:
Brokerage Name:
Australian Financial Services Licence No:
Club/Association Name:
Business Address:
Annual Turnover:
Current Insurer:
Expiry Date:    
Holding Broker:
   


Please advise what style of martial arts the insured is involved in and the number of members to be covered by this insurance.

 
Activity 
% of Turnover
Senior Members
Junior Members
Contact
Weapons Used?
Weapon Types
1.
2.
3.
4.

Please select the cover you require:
Public/Products Liability & Professional Indemnity  Yes NO
 
Player Accident cover:  Yes NO
 
Property Cover Yes NO


Has the insured had any claims in the past 5 years that would be covered by the proposed insurance?   Yes NO


Is there any other information you would like to provide? Yes NO

 

Your Name:      
Date:     
Please press the submit button. A response will be sent to your nominated email address.

 

 

 
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