Faith Insurance

Does your business involve any one or more of the following?

Principally (but not limited to) Churches, missionary organisations (based in Australia), theological colleges, media production and broadcasting, music production and publishing, fundraising, schools and connected businesses including: Home Help, Childcare Centres, Kindergartens, Age Care Centres, Conference Centres, Campsites, Cafes, Social Welfare Activities including but not limited to Books & Opportunity Shops, Social and Sporting Clubs, Counselling and Healing Centres, Halls, Missionary Work (based in Australia), Community Programs, Youth Activities and any other activity incidental thereto.

Do you operate Community based Sporting Club/s with Gaming Machines?

Is the Gaming Revenue greater than 40% of Total Revenue?

Do you require Sexual Abuse and molestation Insurance Cover?

Please provide an approximate % breakdown of Annual Income by State or Territory according to where it is earned:

NSW

ACT

QLD

VIC

TAS

Overseas

Are you a small business eligible for exemption from paying NSW stamp duty on certain types of Insurance?

Yes No

Do you require Building and/or Contents Insurance?

Location 1

Do you Own the Premises?

Yes No

Do you occupy the building for your Business activities?

Yes No

Is the property Heritage Listed?

Yes No

Street Number/Name:

Suburb:

Postcode:

State:

Contents Replacement Value:

Promotional Code (if relevant)

Organisation Information