Megalines Insurance

FAMILY DAY CARE SERVICE/SCHEME

Name of Family Day Care Service *

Business Address *

Street Number/ Name:

Suburb:

State:

Postcode:

Are you a small business eligible for exemption from paying NSW stamp duty
on certain types of Insurance?

Yes No

Are you able to supply evidence of your Stamp Duty exemption to us upon request?

Yes No

Is your Postal Address different from the above address?

Yes No

Contact Address

Street Number/ Name :

Suburb:

State:

Postcode:

Email *

Contact Number *

Have you been granted your Family Day Care Service Approval? *

Yes No