Step 1 of 250%DetailsName of ClubContact NameAddressSuburb/TownStateACTNSWNTQLDSATASVICWAPostcodeEmail TelephoneEstimated Annual TurnoverPublic Liability InsuranceDo you require a quotation for Public Liability Insurance? Yes NoType of SportNumber of MembersPublic Liability Limit of Indemnity required?Choose one...$2m$5m$10m$20mNumber of Events organised by your teams per year?Period Insurance-Start MM slash DD slash YYYY Period of Insurance-End MM slash DD slash YYYY Have you had any previous claims? Yes NoIf yes, please provide detailsNumber of coaches/refereesPersonal Accident InsuranceTotal number of membersNumber of senior playersNumber of senior teamsNumber of junior playersNumber of junior teamsHave you had any previous claims? Yes NoIf yes, please provide detailsAdditional InformationAdditional Information* I confirm that the details I have entered are correct
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