Home
About Us
About Us
Media Hub
Articles
Our Obligations
Disclosure Notices
Insurances
Personal Insurance
Home & Contents
Building & contents Insurance
Landlords Insurance
Strata Insurance
Personal Motor
Private Motor vehicle
Caravan/mobile home
Personal Travel Insurance
Personal Other insurance
Business Insurance
Business Insurance
Liability Insurance
Business Claim
Business Insurance Property
Office Insurance Property
Cyber Insurance
Motor Insurance
Motor Plant & Equipment
Commercial Motor
Specialist Insurance
Motor Trades
Newsagent Insurance
Horticultural
Horticultural Professional Indemnity
Horticultural Motor / Plant & Equipment
Horticultural Tools of Trade
Horticultural Personal Accident & Illness
Horticultural Liability
Vending Machine Operators
Real Estate Agencies
Trade Insurance
Trade Liability
Trades Professional Indemnity
Trades Motor / Plant & Equipment
Trades Tools & Equipment
Trades Personal Accident & Illness
Water Treatment
Personal Travel Insurance
Need Advice?
Your email will not be used for marketing purposes
Request a follow up
03 8544 1600
Claims
Business Claim
Claims Notification
Personal Claim
Emergency Contacts
Contact Us
Contact Us
Pay Online
Emergency Contacts
03 8544 1600
Vending Machine Operators Form
Vending Machine Operators Form
First Name:
*
Surname:
*
Business Name:
*
Email:
*
Phone:
*
Mailing Address
Address:
*
Suburb:
*
State:
Please select...
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
7483
Postcode:
*
Machine Details
Type
Number
Value $
1.
Please select...
Amusement
Cigarette
Candy
Combo
Coffee
Crane
Drink
DVD Vending
Glamour Nail
Ice Vending
Laundromat Machines
Mobile Charger
Pinball
Snack
Other
7499
2.
Please select...
Amusement
Cigarette
Candy
Combo
Coffee
Crane
Drink
DVD Vending
Glamour Nail
Ice Vending
Laundromat Machines
Mobile Charger
Pinball
Snack
Other
7499
3.
Please select...
Amusement
Cigarette
Candy
Combo
Coffee
Crane
Drink
DVD Vending
Glamour Nail
Ice Vending
Laundromat Machines
Mobile Charger
Pinball
Snack
Other
7499
4.
Please select...
Amusement
Cigarette
Candy
Combo
Coffee
Crane
Drink
DVD Vending
Glamour Nail
Ice Vending
Laundromat Machines
Mobile Charger
Pinball
Snack
Other
7499
Attach Machine List:
Where will the machines be located:
Arcades
Construction Sites
Depots
Factories/Mechanics
Office Buildings
Retail/Food shops
Schools
Shopping Centres
Train Stations
Other
Are any Machines located outdoors:
Yes
No
Have you had any claims (insured or not) on your machines in the past 5 years:
Yes
No
If yes, Please provide details:
How long have you been operating your vending business?
When do you require the insurance to start?
* Indicates a mandatory field.
Submit
© Copyright 2024 Fitzpatrick and Co. Insurance Brokers Pty Ltd
ABN: 25 050 242 914 | AFS Licence 244386 |
Login