Quotation Form

(Single Transit Import To and Export From Australia)

* indicates mandatory field.

The Cover
Moves from and to some countries, may not be eligible for this insurance cover. You should contact our office to see what cover may be possible.
Type of goods being moved: *
Region your goods are moving from: *
Region your goods are moving to: *
Sums Insured
Sum Insured: *
Invoice cost due plus freight and all incidental shipping expenses.
Referral Information
Were you referred by:
Name of Referrer:
Name of Brokerage or Removalist:
A $500 excess is payable under this cover but would be refundable if we can recover damages for you. For full cover, benefits and exclusions please examine the Policy Document
Agree to all Terms and Conditions: Yes  No