Application for
Event Cancellation Insurance

Important

Please note that failure to disclose all material information (i.e. any information that would influence acceptance of the risks or terms applied) could invalidate your insurance cover. If you are in any doubt whether information is material, you should disclose it.

Event Cancellation Insurance Application

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Section 1 - About You (The Proposer/s)

1.1 Name of Proposer(s)

Any proposer acting for others is referred to "Conditions of Quotation 15.5" at the foot of this form and the need to enquire of all others before answering.

1.2 Your Business Address

City

State

Post Code

Country

1.3 Phone

No spaces - Numbers only

What is the usual business of the proposer(s)? What is the usual business of the proposer(s)?

1.5 When was the business established?

1.6 You have the right to request that this Insurance be governed and construed in accordance with the law of the country most relevant to the subject matter and that the courts of that country will have jurisdiction in any dispute arising under, out of or in connection with the Insurance. Unless you choose otherwise the law of Australia will apply.

Do you accept the application of this law?

If no, please state the law and court you consider should apply together with your reasons and the Underwriters will consider the possibility of applying that law.

ALMBC - Working for you and your business

Application for Event Cancellation Insurance

Important

Section 1 - About You (The Proposer/s)

ALMBC - Working for you and your business

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Application for
Event Cancellation Insurance