Insurance Instruction Form

Name(Required)

First Name Last Name

Email(Required)

Premises Let

Street Address(Required)

Suburb(Required)

State(Required)

Post Code(Required)

Select Your Preferred Insurance Provider(Required)

EBM Rent Cover

PIP Insurance

EBM Rent Cover(Required)

Standard property: $309 for the first year (normally $370)

Furnished property: $376 for the first year (normally $450)

As our client, you are eligible for special first-year pricing.

PIP Insurance(Required)

Standard property: $357 per year

Please type your full name as confirmation(Required)

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Insurance Instruction Form

Premises Let

Email

Email

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