Insured Name Insured name is the Legal entity to be insured (e.g. ABC Pty Ltd, J & G Smith t/as …, ABC Organising Committee, etc)

Postal Address

Website

By clicking the 'Submit' button you acknowledge and agree that your information will be handled in accordance with the Aon Privacy Notice, and you also confirm that:

• the answers and statements in this proposal form are true and correct;
• you have not suppressed nor mis-stated any facts;
• you are authorised to complete and accept this proposal; and
• you will inform the insurer of any material alteration to the matters contained in this proposal before completion of the contract of insurance.