Application Form Please complete the application form below and a member of our specialist Entertainment team will contact you shortly to discuss your cover. Contact Name: Business Name: ABN: AIPP Membership ID: Physical Address: Postal Address: Phone: Email: Which Cover Sections do you require? Please tick the relevant boxes: $20m Public Liability and $2m Errors and Omissions Worldwide equipment cover Drone Extension (Public Liability and Equipment Extension) Gross turnover expected for the next 12 months? : Please note that we have Minimum Security Requirements whilst your items are in storage – Deadlocks on all doors, windows lockable, barred or unable to be opened, alarm fitted if stored in commercial premises. : Have you or any other party to be covered by this insurance, ever experienced any occurrence which could have or has given rise to a claim under any of the above insurance policies? If yes, please provide details below: DECLARATION AND AGREEMENTBy clicking the 'Submit' button you are acknowledging that you have read, understood and agreed to the above. You are also acknowledging that the answers and statements in this proposal form is true and correct and that you have not suppressed nor mis-stated any facts; that 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.: Yes I have read and agreed to the Declarations. PRIVACYAon is committed to protecting your personal information in accordance with the Australian Privacy Principles under the Privacy Act 1988 (Cth). We collect, use and disclose personal information to offer, promote, provide, manage and administer the many financial services and products we and our group of companies are involved in as set out in the Aon Privacy Notice.If you are disclosing personal or sensitive information about any other person to Aon, you confirm that you have obtained the consent of that person to disclose to Aon their personal or sensitive information and you have made them aware that Aon will or may disclose their information to third parties that are reasonably necessary to assist in the provision of the relevant services or products. If you have not obtained consent from this other person to disclose their personal or sensitive information to Aon, you will inform us before providing the relevant information to us.By submitting this form, you acknowledge that you have read the Aon Privacy Notice and agree that we can handle any personal information you have provided to us in the manner set out above.: : I agree that Aon or any of its group of companies may be in touch by any means (including SMS or email) to let me know about their goods, services or promotions, that may be of interest to you.