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Quote Request: Martial Arts
All red fields are mandatory and must be completed.
Details
Name of Club
(required)
Contact Name
(required)
Address
(required)
Suburb/Town
(required)
State
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
(required)
Postcode
(required)
Email
(valid email required)
Telephone
(required)
Describe all activities
(required)
Do you use weapons?
Yes
No
If yes, please describe
Are your activities
Choose one...
Full contact
Semi contact
Non contact
(required)
Please detail style of martial arts undertaken
Aikido
Karate
Muay Thai
Tang So Do
Boxing
Kempo
Ninjitsu
Wrestling
Hapkido
Kendo
Qi Gong
Yoga
Judo
Kickboxing
Taekwondo
Jujitsu
Brazilian Jujitsu
Kung Fu
Tai Chi
Other (details below)
Other
You need to have the above percentages totalling 100%
Which industry bodies are you accredited with?
(required)
Public Liability Insurance
Do you require a quotation for Public Liability Insurance?
Yes
No
Do you:
Host international events
Yes
No
Own the premises
Yes
No
Hire the premises out to others
Yes
No
Own the equipment used
Yes
No
Hire out the equipment to others
Yes
No
Have a liquor license
Yes
No
Own or operate a cafeteria
Yes
No
Manufacture goods
Yes
No
Sell goods to the public
Yes
No
Enter into any contractual agreements
Yes
No
If you have answered YES to any of the questions above, please provide details:
Number of Members
(required)
Number of tournaments organised by you per year?
(required)
Public Liability Limit of Indemnity required?
Choose one...
$2m
$5m
$10m
$20m
(required)
Professional Indemnity limit of required
Choose one...
$1m
$2m
$5m
(required)
Period of Insurance - Start
(required)
Period of Insurance - End
(required)
Have you had any previous claims?
Yes
No
If yes, please provide details
Number of instructors
(required)
Are all instructors qualified
Yes
No
If yes, please provide details
Personal Accident Insurance
Total number of members
(required)
Number of senior members
(required)
Number of junior members
(required)
Have you had any previous claims?
Yes
No
If yes, please provide details
Type of cover required
Standard
Budget
Capital Benefits only
(required)
Property Insurance
Property Address
(required)
Suburb/Town
(required)
State
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
(required)
Postcode
(required)
Approximate age of premises (yrs)
(required)
Renewal Date
(required)
Premium
(required)
Are the buildings constructed only of brick, stone, concrete or other non combustable mateirals and roofed with slates, tiles, concrete or other non-combustable materials?
Yes
No
If the answer to the above is no, please provide full details of construction and advise what percentage of the building does not comply with the above construction.
Are the premises occupied solely by yourselves?
Yes
No
If no please provide details
Are the premises
Choose one...
Detached
Semi Detached
Terraced
(required)
Are the premises
Choose one...
Residential
Commercial
Industrial
Rural
(required)
Sums Insured
Building
(required)
Other Buildings
(required)
Contents
(required)
Stock
(required)
Wines/Spirits/Tobacco
(required)
Trophies
(required)
Money
(required)
Business Interuption - Gross Revenue
(required)
Business Interuption - Book Debts
(required)
Business Interuption - Increased cost of working
(required)
Business Interuption - Loss of licence
(required)
Are all accessible doors deadlocked?
Yes
No
Are all accessible windows grilled/barred?
Yes
No
Do all accessible windows have key-operated window locks?
Yes
No
Are the premises alarmed?
Yes
No
Is it monitored?
Yes
No
Is it back to base?
Yes
No
Have you had any previous claims?
Yes
No
If yes, please provide details
Additional Information
Additional Information
I confirm that the details I have entered are correct
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