1300 605 061
info@justcoffeeinsurance.com.au
Home
Obtain a Quote
Sign in
1
Get A Quote
2
Quote Form
Contact Details
Situation at Risk
Insurance Options
Additional Information
Contact Details
Previous
Next
Contact Person:
Email Address:
Phone Number/Mobile:
Business Details
Business Structure:
Partnership
Other
Trust
Company
Sole Trader
Superfund
Company or Insured Name:
Trading As:
ABN No.:
Registered for GST:
Yes
No
Mailing Address
Address Line 1:
Address Line 2:
Town/Suburb:
Postcode:
State:
Australian Capital Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western Australia
Situation at Risk
Previous
Next
Business Address
Is the business address the same as mailing address ?
Yes
No
(Cannot be a PO Box)
Address Line 1:
Address Line 2:
Town/Suburb:
Postcode:
State:
Australian Capital Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western Australia
Business Location
Please select
Industrial Area
Commercial Building
Major Shopping Centre
Small Shopping Centre
Multi-shop Strip
Standalone Building
High Rise/Multi Store Building
Other
Type of Occupancy
Please select
Rented
Owner Occupier
Owner Leased out
Other
Interested Parties (e.g. Landlord)
Yes
No
Interested Party Type
Please select
Bank/Financial Institution
Landlord
Lessor
Other
Other Interested Party Type
Name of Interested Party
How long has the business been operating?
Please select
New
1 to 2 Years
3 to 5 Years
6 to 10 Years
More 10 Years
Annual Gross Turnover
Number of Staff Full Time
Part Time
Insurance Options
Previous
Next
Public and product liability amount
Please select
$10,000,000
$20,000,000
General Property Cover (Electronic devices equipment away from premises)
Additional Information
Previous
Submit
Please provide additional details of your request eg. items you want covered
PROMO CODE