Golf Retail Business Insurance
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Insured Name *

Registered business name to appear on your policy
 
Phone No. *

 
Business Address *

Location to be insured
 
Estimated Annual Turnover *

Derived from "Retail Sales" ONLY
 
Number of Staff *

 
Age of Building (years) *

 
Construction

 
Walls *


 
Floor *


 
Roof *


 
Fire Safety *


 
Security *


 
Property Section

Fire, Storm, Accidental Damage etc.
 
Building Sum Insured *


 
Stock & Contents Sum Insured *


 
Theft Section

 
Stock & Contents Sum Insured *


 
Public & Products Liability Section

Note: Public & Products Liability Insurance provided by The PGA of Australia membership is limited to playing & teaching. It DOES NOT cover 'Retail Business'
 
Limit of Liability / Sum Insured *


 
History

 
Have you ever been charged with a criminal offence? (other than traffic offences) *

     
 
Have you ever been declared bankrupt or subject to insolvency administration? *

     
 
In the past 5 years, have you made a Business Insurance claim? *

     
 
Please confirm - Date of Loss, Incident Description & Amount Claimed

 
Are you interested in receiving a quote for the following additional cover sections?

 
Business Interruption

     
 
Money

     
 
Glass

     
 
Equipment Breakdown

     
 
General Property (mobile equipment i.e Trackman)

     
 
Management Liability (Directors & Officers Insurance)

     
 
Life Insurance / Income Protection

     
 
Duty of Disclosure *

By accepting the below, I certify all answers provided are true and correct to the best of my knowledge.
By accepting the below, I certify all answers provided are true and correct to the best of my knowledge.
     
www.golfbusinessaustralia.com.au
info@golfbusinessaustralia.com.au - Ph.1300 852 025
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