Confirmation of Australian Marine Insurance

Online Confirmation of Insurance
This page was last updated on Wednesday, 12 April 2006 12:57:39 PM

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 ie. what's cover A and cover B, risks covered, exclusions, valuations etc.

Name and address of Your Organisation
Your Phone Number
Your STD Code
Your ISD Code
Name of Your Country
Name of Product
$ Value of Product
What Currency
Volume of product ie weight / cubic
What method of packaging
Sea or air freight
Pallet or Full container load
Port of Loading
Port of Discharge
Ultimate destination
Vessel expected to sail on
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 :
You are required to put in your name and email address, then click submit for your details to come back to us Name: Email :

Thank you for taking out your insurance with Celestial Industries

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