Online Confirmation of Overseas Air and Sea Freight Cargo Insurance
Please 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 |
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Your address and post code |
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Your country |
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Your phone number |
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Name of person at departure |
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Departure street address |
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Departure country |
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Name of person at destination |
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Destination address |
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Destination country |
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Name of vessel and voyage number |
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Vessel expected to sail on |
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Container number |
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Port of Loading |
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Port of Discharge |
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Ultimate destination |
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Name / description of product |
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$ Value of Product |
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What Currency |
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How many units / packages etc .. been shipped: |
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Volume of product i.e weight / cubic |
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What method of packaging |
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Sea or air freight |
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Less than a container or Full container load or Drive on |
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General / Dry cargo |
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Refrigerated or chilled cargo |
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What temperature setting |
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We accept your offer of cover |
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If you wish to add any Comments |
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I, We fully understand that the insurance policy only comes into place when monies are fully accounted for and cleared by your bank. |
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Signature :_______________________________ |
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How did you find us | |
Please feel free to contact us at Australia Trade & Shipping. |
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Phone: |
Adelaide: |
+61 8 8464 0840 |
Lismore: |
+61 2 6619 1699 |
I wish a safe and prosperous journey for you and your loved ones. |
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