AFS Licence No. 236675

 ABN: 80 006 499 181

                                                                              

                                                                                                          1st Floor 940 Glenhuntly Road,              Phone: (03)9572 0155                         

                                                                                                          Caulfield South  Vic  3162                      Fax: (03) 9563 5207                                    

                                                                                                          P O Box 21, Ormond 3204                      E-mail: inquiries@armbro.com.au                                                                                                               DX 36029, Moorabbin      

 

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HOME QUOTE

Please provide the following contact information:

First Name
Surname
Title
Organization
Street Address
Address (cont.)
City
State
Post Code
Country
Work Phone
Home Phone
FAX
E-mail
Mobile Phone

 

Are you a supporter of the National Trust

 

How should we contact you?

 

What is the best time to be in contact?


 

To receive a quote, please answer the following questions. All questions marked with an * are mandatory.
Details about your home
How would you describe your home?

Is your home permanently connected to power / water?
Yes   No
What year was your home built?

What are the exterior walls of your home made of?

What is the main material used to construct your roof?

How is your home occupied? Are you the:

Is your home part of a Strata title plan?
Yes   No

Selecting your insurance cover
What cover do you require?


Building replacement value
What is the replacement value of your buildings? $ 

Contents replacement value
Total Contents includes general contents and any items you specifically want covered in your home.
What is the replacement value of your general contents? $ 

Do you have any specified contents you would like to insure?
Yes   No
$ 
Home security
Do you have any of the following security devices fitted to your home? Please select as appropriate:







Claims / Loss History in the last 5 years
How many home buildings or contents insurance claims have you or any other person normally residing with you made in the last 5 years? If none, please enter 0.