1Costumer InformationCustomer Information Name * Email * Mobile * State * New South WalesQueenslandVictoriaWestern AustraliaNorthern TerritorySouth AustraliaTasmaniaAustralian Capital Territory Purchase Amount Total Total Annual Cost Incl. GST 2Jewellery ItemsJewellery Items Number of items * 1234567891011121314151617181920 Select how many items you want to include. Total Purchase Price Total Premium (Incl GST) 3Additional DetailsAdditional Details Name * Email * Mobile * Street Address * Suburb * State * Postcode * 4Security QuestionsSecurity QuestionsBy processing payment of your premium to insure your items, you agree that you have read and understand our PDS and are able to provide copies of the following within 7 days of receiving cover: A copy of the tax invoice for the item(s) I want to insure I can provide high resolution photos of the item(s) I can provide a photo of the item(s) held up in front of this time stamped imageDuty of Disclosure: All home windows and doors can be secured with locks I have not made a jewellery insurance claim in the last 3 years I have never had insurance refused, cancelled or rejected I have not been convicted of a criminal offence in the last 5 years (not including driving offences) 5Review Policy DetailsReview Policy Details Insured to Email Mobile Street Address Suburb State Postcode Total Purchase Price:0 Total Premium Including GST:0 6PaymentPayment Once payment is processed, a Cover Note will be emailed directly to the address you have provided and your cover will be in place. All transactions are secure and encrypted. Total Purchase Price:0 Total Premium Including GST:0 Credit or debit card Total:
