Hole-In-One Insurance
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Insured Name *

Must have a valid ABN
Postal Address *

Phone No. *

Event Name

Course Name *

Course/Event Address *

Event Start Date *

Event End Date *

Hole Number *

Hole Length (metres) *

Please note women are automatically entitled to hit 15m closer to the pin than men.
Prize Value & Description *

i.e. $25,000 / Car
Number of AMATEUR golfer attempts *

Number of PROFESSIONAL golfer attempts *

Event Notes

Is there anything else we need to know about your event?
Duty of Disclosure *

By accepting the below, I certify all answers provided are true and correct to the best of my knowledge.

info@golfbusinessaustralia.com.au - Ph.1300 852 025
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