REGISTRATION FORM / TAX INVOICE

PLEASE COMPLETE FORM IN BLOCK LETTERS. PAYMENT MUST ACCOMPANY REGISTRATION FORM.

EARLY BIRD REGISTRATIONS CLOSE 26 JANUARY 2018 VENUE: CROWNE PLAZA HUNTER VALLEY, 430 WINE COUNTRY DRIVE, LOVEDALE, NSW 2325 DATE: WEDNESDAY 7 – FRIDAY 9 MARCH 2018

01 DELEGATE DETAILS 05 PAYMENT DETAILS (CONT.) TITLE MR MRS MISS MS DR PLEASE DEBIT MY (PLEASE TICK): VISA MASTERCARD DINERS AMEX ANZIIF MASTER ID CARD NUMBER SURNAME EXPIRY DATE GIVEN NAME (S) CARDHOLDER’S NAME POSITION AMOUNT A$ ORGANISATION CARDHOLDER’S SIGNATURE ADDRESS

SUBURB / CITY POSTCODE DATE

BUSINESS PHONE CHEQUES TO BE MADE PAYABLE TO:

MOBILE AUSTRALIAN AND NEW ZEALAND INSTITUTE OF AND FINANCE EMAIL (CONFIRMATION WILL BE SENT TO THIS ADDRESS) BANK ACCOUNT: NATIONAL BANK BRANCH: OFFICE, 330 COLLINS STREET NAME: AUSTRALIAN & NEW ZEALAND INSTITUTE OF INSURANCE AND FINANCE PREFERRED NAME FOR NAME BADGE BSB: 083 004 ACCOUNT: 51511 7195 ACCOUNT SWIFT CODE: NATAAU3303M DIETARY REQUIREMENTS: WHEN PAYING BY EFT EVENT AND DELEGATE NAME MUST BE SENT VIA EMAIL TO [email protected] AND [email protected] RETURN TRANSPORT REQUIRED FROM SYDNEY CBD YES NO 06 CANCELLATION 02 PRICING (incl. GST) A FULL REFUND LESS 25% SERVICE CHARGE WILL BE MADE FOR CANCELLATIONS ADVISED BY LETTER OR EMAIL UP TO FIFTEEN (15) WORKING DAYS PRIOR TO THE REGISTRATION FEE INCLUDES ALL MEALS, BEVERAGES, COURSE MATERIAL AND EVENT. REGRETTABLY NO REFUNDS CAN BE MADE AFTER THIS TIME. IN CASE OF SOCIAL FUNCTIONS. EXCEPTIONAL CIRCUMSTANCES PLEASE CONTACT CUSTOMER SERVICE. EARLY BIRD MEMBER (Ends Friday 26 January) $1,350 IN THE EVENT OF A REGISTRANT’S INABILITY TO ATTEND A SUBSTITUTE DELEGATE EARLY BIRD NON-MEMBER (Ends Friday 26 January) $1,690 IS WELCOME. PLEASE EMAIL REPLACEMENT TO [email protected] STANDARD MEMBER $1,490 07 PRIVACY POLICY STANDARD NON MEMBER $1,860 ANZIIF COLLECTS AND STORES YOUR PERSONAL INFORMATION FOR THE PURPOSES GROUP BOOKING (3 or more) $1,520 OF PROVIDING AND PROMOTING CONTINUING PROGRAMS AND PLEASE COMPLETE A SEPARATE FORM FOR EACH REGISTRATION MEMBERSHIP SERVICES. THE INFORMATION YOU PROVIDE WILL NOT BE RELEASED TO ANY OTHER PERSON OR ORGANISATION WITHOUT YOUR CONSENT UNLESS 03 ACCOMODATION REQUIRED TO DO SO BY LAW. ANZIIF WILL ON OCCASION BE ASKED TO SUBMIT DELEGATE NAMES AND CONTACT ROOMS CAN BE BOOKED DIRECTLY WITH THE HOTEL WITH THE PROVIDED DETAILS TO EVENT SPONSORS. WEBSITE ADDRESS. AWS.PASSKEY.COM/GO/REINSURANCERENDEZVOUS GUESTS WISHING TO BOOK BY PHONE CAN CALL IN-HOUSE RESERVATIONS ON PLEASE TICK IF YOU DO NOT WISH YOUR NAME AND CONTACT DETAILS TO BE 02 4991 0970 AND QUOTE BOOKING CODE “REINSURANCE RENDEZVOUS”. RELEASED TO THE SPONSORS OF THIS EVENT. PLEASE NOTE THAT THE CENTRAL RESERVATIONS TEAM DOES NOT HAVE ACCESS TO THE REDUCED ROOM RATES, THE ABOVE DIRECT NUMBER MUST BE USED. PLEASE TICK IF YOU DO NOT WISH YOUR NAME AND COMPANY TO BE LISTED PLEASE NOTE THAT ACCOMMODATION ROOMS ARE SUBJECT TO HOTEL AVAILABILITY. ON THE CONFERENCE PROCEEDINGS ATTENDANCE SHEET. TO REVIEW ANZIIF’S FULL PRIVACY POLICY GO TO ANZIIF.COM/ABOUT/PRIVACY- 04 PRE CONFERENCE ACTIVITIES - GOLF STATEMENT

ON WEDNESDAY 7 MARCH FROM 10.00AM, AN OPTIONAL PRE-CONFERENCE GOLF 07 EVENT TERMS & CONDITIONS DAY WILL BE AVAILABLE TO ATTENDEES. GOLF WILL BE PLAYED AT THE VINTAGE GOLF COURSE WITH RETURN TRANSPORT FROM CROWNE PLAZA TO VINTAGE. FILMING AND PHOTOGRAPHY AT EVENTS IS STRICTLY PROHIBITED. IF FOUND BREACHING ANY OF THE ANZIIF TERMS, ANZIIF RESERVES THE RIGHT TO PLEASE INDICATE BELOW IF YOU WOULD LIKE TO BE INVOLVED IN THE GOLF DAY REMOVE DELEGATES FROM THE EVENT. AND A MEMBER OF ANZIIF WILL BE IN TOUCH WITH YOU CLOSER TO THE EVENT: 18 HOLES ($83 INCLUDING CART. CLUB HIRE $30) TO CONFIRM YOUR BOOKING, PLEASE COMPLETE THIS FORM WITH PAYMENT NOTE: GOLF FEES ARE NOT PAYABLE TO ANZIIF AND MUST BE SETTLED DIRECT AND RETURN TO: WITH THE VINTAGE GOLF COURSE BEFORE PLAY. ANZIIF 05 PAYMENT DETAILS LEVEL 7, 628 BOURKE STREET, MELBOURNE VIC, 3000 AUSTRALIA EMAIL: [email protected] THIS DOCUMENT WILL BECOME A TAX INVOICE WHEN FULLY COMPLETED AND CONFERENCE AND REGISTRATION QUERIES: (61 3) 9613 7200 PAYMENT IS MADE. ABN: 56 004 320 076 MY REGISTRATION FEE WILL BE PAID BY (PLEASE TICK): CHEQUE ENCLOSED CREDIT CARD EFT 54PDE_1117_800 ANZIIF MEMBERSHIP

ANZIIF is the leading membership body and provider of education, training and professional development services to the insurance and financial services industry in the Asia-Pacific region. With more than 16,000 members in over 50 countries and offices in Australia, New Zealand and China, ANZIIF’s mission is to lead, engage and support the industry through the promotion of professional standards. ANZIIF members are recognised as industry professionals committed to learning and professional development. In addition to the member benefits listed below, ANZIIF also offers Skills Units, qualifications, short courses, compliance and recognition of prior learning (RPL). The benefits of membership are:

ANZIIF post-nominal Affiliate, Associate, Senior Associate and Fellows are classed as Certified Insurance Professionals (CIP) and can use an ANZIIF post-nominal.

Access to lifelong learning—The Members’ Centre Access our library of more than 1,500 articles, forums, news, essays, videos and interactive professional development in the Members’ Centre and earn CIP/CPD points.

CIP/CPD Points Register Members have access to ANZIIF’s online CIP points register, where they can record continuing professional development points.

The Journal CIP members receive the longest-running and most widely-read insurance publication, the Journal, four times per year and all members receive the Journal via email.

Professional Development Events Focused on delivering face to face learning, ANZIIF conducts approximately 35 professional development events during the year. ANZIIF members receive a 20 per cent discount at ANZIIF professional development events.

E-newsletters Twice per month, members receive the ANZIIF e-newsletter, which contains articles focused on technical information, soft skills, profiles and general career advice.

Customised member experience Faculties are classifications based on expertise or area of interest. Selecting your faculty enables personalised communication.

To become an ANZIIF member visit anziif.com/membership or contact customer service on +61 (3) 9613 7200 or New Zealand free-call 0800 103 675. 05MEM_1217