Conference and Exhibition Insurance Services

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CONTACT INFORMATION
Full Name (*)
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Email Address
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Phone
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Mobile
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Fax
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Website
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Street
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Town (*)
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State
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Postcode (*)
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Are you a member of the PCO?
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Are you a member of any other associations?
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If Yes, which associations?
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INSURED
Full Name of Insured
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ABN
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GST Registered?
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Your Duty of Disclosure requires you to tell us of any information that may affect our/insurer decision to insure you. Each person(s) or entity named as the Insured has this duty of disclosure. If you do not tell us about any information which may be relevant to accepting this insurance, this may result in the refusal or reduction of claims or the cancellation of this policy.
In the past 10 years have you or any Insured person/business/corporation/director had any insurer decline any proposal from inception or decline any claim, cancelled or refused to renew a policy or imposed special conditions? (*)
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In the past 10 years have you or any Insured person/business/corporation/director ever been declared bankrupt or involved in any form of insolvency administration and not been discharged for at least one year? (*)
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In the past 10 years have you or any Insured person/business/corporation/director been convicted or have charges pending, for any criminal offence, including arson, or involving dishonesty of any kind? (*)
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Have you ever had a non motor vehicle loss, whether insured or not, in excess of $20,000? If Yes, provide details (acceptance will be required from the Insurer/s). (*)
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Do you authorise us to give to, or obtain from, other insurers or any reference service, any information relating to insurance held by you or any claim in relation thereto? (*)
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Are you aware of any exceptional circumstances, not covered above, that would influence the underwriter's decision to accept the risk of insurance, or alter the terms? If Yes, provide details (acceptance will be required from the Insurer/s). (*)
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I/we agree the Privacy Policy Statement is acceptable. (*)
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EVENT DETAILS
Name of Event
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Event Location
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Event Type
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Event Start Date
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 click for calendar
Event Finish Date
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 click for calendar
Start Bump In
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 click for calendar
Finish Bump Out
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 click for calendar
Estimated Attendance
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LIABILITY INSURANCE
Limit of Liability (*)
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OTHER $
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CANCELLATION & ABANDONMENT INSURANCE
Do you require cover for Cancellation & Abandonment
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Total Budgeted Costs
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Estimated Nett Profit
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Would adverse weather affect any part of the conference/exhibition to proceed
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If so, is there an alternate venue available
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Is the conference reliant on a particular speaker or person to attend for the event to proceed
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PROPERTY INSURANCE
Do you require cover for property of your own or in your control
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If you have selected Yes we will provide cover to a limit of $25,000. Should you require a higher sum insured please advise the sum insured required
Amount
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List of property to be covered
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 Please list details of the property to be covered
MONEY INSURANCE
Do you require cover for money
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Amount
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CLAIMS
Have you ever had a claim for any of the above type of insurances
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Testimonials

  Mary Tryst
"I needed to know that my event was in good hands...CEIS helped me to sleep at night!"
  Chris Shiflett
"Quality insurance allows me to totally focus on the goals of my conference"

Professional Details

Aisle Six Pty Ltd T/As Conference & Exhibition Insurance Solutions is a Corporate Authorised Representative of Insurance Advisernet Australia Pty Ltd. AR No. 266613. AFSL No: 240549