The home of australiatrade.co.nz

Online Confirmation of Insurance

Please print out our Pdf document and fax back to Australia on +61 7 3290 2481 or fill in details below and Submit this form.

We hereby accept your quote for marine insurance and hereby ask you to go ahead and implement insurance. We understand payment can be effected by internet banking or direct deposit into your account. (you do not accept efpost, credit card or cheques)
Remember to click here for terms and conditions outlining procedures i.e. what's cover A and cover B, risks covered, exclusions, valuations etc.

Your name *	required*
Email*	required*
Your companies name
Your address and post code
Your country
Your phone number
Name of person at departure
Departure street address
Departure country
Name of person at destination
Destination address
Destination country
Name of vessel and voyage number
Vessel expected to sail on
Container number
Port of Loading
Port of Discharge
Ultimate destination
Name / description of product
$ Value of Product
What Currency
How many units / packages etc .. been shipped:
Volume of product i.e weight / cubic
What method of packaging Pallet / Loose / Crated / Bundled / Drums etc
Sea or air freight
Less than a container or Full container load or Drive on
General / Dry cargo
Refrigerated or chilled cargo
What temperature setting
We accept your offer of cover (you can copy our quote and paste into this box)
If you wish to add any Comments

I, We fully understand that the insurance policy only comes into place when monies are fully accounted for and cleared by your bank.
Signature :_______________________________
How did you find us

Please feel free to contact us at Australia Trade & Shipping.
	Phone:	Adelaide: Brisbane: Burnie: Canberra:	+61 8 8463 1800 +61 7 3808 1200 +61 3 6441 0292 +61 2 6223 2799	Melbourne: Perth: Sydney:	+61 3 8804 1700 +61 8 6364 3888 +61 2 9086 9090
	I wish a safe and prosperous journey for you and your loved ones.

Online Confirmation of Insurance

Please print out our Pdf document and fax back to Australia on +61 7 3290 2481 or fill in details below and Submit this form.

Your name *

required*

Email*

required*

Your companies name

Your address and post code

Your country

Your phone number

Name of person at departure

Departure street address

Departure country

Name of person at destination

Destination address

Destination country

Name of vessel and voyage number

Vessel expected to sail on

Container number

Port of Loading

Port of Discharge

Ultimate destination

Name / description of product

$ Value of Product

What Currency

How many units / packages etc .. been shipped:

Volume of product i.e weight / cubic

What method of packaging Pallet / Loose / Crated / Bundled / Drums etc

Sea or air freight

Less than a container or Full container load or Drive on

General / Dry cargo

Refrigerated or chilled cargo

What temperature setting

We accept your offer of cover (you can copy our quote and paste into this box)

If you wish to add any Comments

I, We fully understand that the insurance policy only comes into place when monies are fully accounted for and cleared by your bank.

Signature :_______________________________

How did you find us

Please feel free to contact us at Australia Trade & Shipping.

Phone:

Adelaide: Brisbane: Burnie: Canberra:

+61 8 8463 1800 +61 7 3808 1200 +61 3 6441 0292 +61 2 6223 2799

Melbourne: Perth: Sydney:

+61 3 8804 1700 +61 8 6364 3888 +61 2 9086 9090

I wish a safe and prosperous journey for you and your loved ones.

What method of packaging
Pallet / Loose / Crated / Bundled / Drums etc

We accept your offer of cover
(you can copy our quote and paste into this box)

Adelaide:
Brisbane:
Burnie:
Canberra:

+61 8 8463 1800
+61 7 3808 1200
+61 3 6441 0292
+61 2 6223 2799

Melbourne:
Perth:
Sydney:

+61 3 8804 1700
+61 8 6364 3888
+61 2 9086 9090