BECOME AN ANZIIF MEMBER AND SAVE

For $205* (Allied membership), you can become an ANZIIF member and ANZIIF is the leading membership body and provider of , training enjoy all membership benefits, as and professional development services to the and financial services industry in the Asia-Pacific region. well as receive the member discount ANZIIF members are recognised as industry professionals committed to learning to attend the 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:

Access to lifelong Professional *election fee waived. learning –The Development Events Members’ Centre Become an ANZIIF member CIP/CPD Points and save E-newsletters Register Individual non-member pricing to attend CRMB is AUD $4,000 Customised member (ex. GST). The Journal experience Become an ANZIIF member and only pay the standard member price of AUD $3,200 (ex. GST). Why attend? SAVE AUD $800 Exclusive learning opportunity: Participants will receive guidance from senior risk management and insurance leaders who have deep technical expertise and industry experience.

Uniquely structured: The intensive course will combine active and Yes, sign me up to become experiential learning such as practical group work alongside industry peers an ANZIIF member. and team-building activities with expert presentations and knowledge sharing.

A customer service representative Professional recognition: Participants will receive a Certificate of Attainment and can obtain: will contact you to process your • CPD points membership payment. • 15 CIP points Membership valid until If the ‘Assess Risk’ Skills Unit is completed (including the exam): 31 December 2021. • 10 credit points towards the Executive Certificate in General Insurance Broking.

Course inclusions: Accommodation, meals and study materials will be provided throughout the three days. ANZIIF will arrange this on behalf of participants.

Please return this form along with your event registration to CRMB, ANZIIF, Level 7, 628 Bourke Street, VIC, 3000 .

Email: [email protected] | Conference and registration queries: (61 3) 9613 7200 152PDE_0620_800 REGISTRATION FORM / TAX INVOICE REGISTRATIONS CLOSE FRIDAY 4 JUNE 2021. PLEASE COMPLETE FORM IN BLOCK LETTERS. PAYMENT MUST ACCOMPANY REGISTRATION FORM.

VENUE: NOVOTEL SYDNEY MANLY PACIFIC, YES, SIGN ME UP TO BECOME AN ANZIIF MEMBER. 55 NORTH STEYNE MANLY NSW 2095 A CUSTOMER SERVICE REPRESENTATIVE WILL CONTACT YOU TO PROCESS YOUR DATE: SUNDAY 25 – TUESDAY 27 JULY 2021 MEMBERSHIP PAYMENT. MEMBERSHIP VALID UNTIL 31 DECEMBER 2021.

01 DELEGATE DETAILS 06 PAYMENT DETAILS

TITLE ■ MR ■ MRS ■ MISS ■ MS ■ DR THIS DOCUMENT WILL BECOME A TAX INVOICE FOR GST WHEN FULLY COMPLETED AND PAYMENT IS MADE. ANZIIF MASTER ID MY REGISTRATION FEE WILL BE PAID BY (PLEASE TICK):

GIVEN NAME (S) ■ CHEQUE ENCLOSED ■ CREDIT CARD ■ EFT

SURNAME PLEASE DEBIT MY (PLEASE TICK): ■ VISA ■ MASTERCARD ■ DINERS CLUB ■ AMEX NATIONALITY CARD NUMBER POSITION EXPIRY DATE ORGANISATION CARDHOLDER’S NAME ADDRESS AMOUNT AUD $ SUBURB POSTCODE CARDHOLDER’S SIGNATURE BUSINESS PHONE

MOBILE DATE

EMAIL (CONFIRMATION WILL BE SENT TO THIS ADDRESS) CHEQUES TO BE MADE PAYABLE TO:

ACCOUNT NAME: AUSTRALIAN AND NEW ZEALAND INSTITUTE OF INSURANCE AND PREFERRED NAME FOR NAME BADGE FINANCE BANK: NATIONAL BANK AUSTRALIA LTD BRANCH: 330 COLLINS STREET, MELBOURNE DIETARY REQUIREMENTS: ■ VEGETARIAN ■ OTHER (PLEASE SPECIFY) BSB: 083 004 ACCOUNT NUMBER : 51511 7195 SWIFT CODE: NATAAU3303M OR APPROVING MANAGER & POSITION ACCOUNT NAME: AUSTRALIAN AND NEW ZEALAND INSTITUTE OF INSURANCE AND FINANCE BANK: BANK OF NEW ZEALAND IF YOU HAVE BEEN REFERRED TO THIS COURSE BY A COLLEAGUE, PLEASE PROVIDE THEIR BRANCH: WELLINGTON BRANCH NAME ACCOUNT NUMBER : 02 0500 0550383 025 SWIFT CODE: BKNZNZ22

WHEN PAYING BY EFT, REMITTANCE, DELEGATE NAME/S AND EVENT NAME MUST BE SENT VIA 02 COURSE PRICES (ALL PRICING EXCLUDES GST) EMAIL TO [email protected] AND [email protected] AUD NZD MEMBER ■ $3,200 ■ $3,430 07 CANCELLATION AND SUBSTITUTION POLICY NON-MEMBER ■ $4,000 ■ $4,288 CANCELLATIONS RECEIVED IN WRITING BEFORE 4 JULY 2021: FULL REFUND LESS 25% MEMBER GROUP BOOKING (3 OR MORE)^ ■ $2,880 ■ $3,087 SERVICE CHARGE. NON-MEMBER GROUP BOOKING (3 OR MORE)^ ■ $3,600 ■ $3,859 CANCELLATIONS RECEIVED AFTER 4 JULY 2021: NO REFUND. ^When booking a group of 3 or more, please complete a separate registration form for each registration. IN THE EVENT OF A REGISTRANT’S INABILITY TO ATTEND, A SUBSTITUTE DELEGATE IS WELCOME. PLEASE EMAIL REPLACEMENT TO [email protected] 03 IMPORTANT DETAILS (WILL BE USED IN DETERMINING BEST SYNDICATE MIX) PLEASE INDICATE HOW MANY YEARS OF EXPERIENCE YOU HAVE IN THE FOLLOWING: 08 PRIVACY POLICY ANZIIF COLLECTS AND STORES YOUR PERSONAL INFORMATION FOR THE PURPOSES OF RISK MANAGEMENT LEGAL PROVIDING AND PROMOTING CONTINUING EDUCATION PROGRAMS AND MEMBERSHIP BROKING FINANCE SERVICES. THE INFORMATION YOU PROVIDE WILL NOT BE RELEASED TO ANY OTHER PERSON OR CLAIMS ACTUARIAL ORGANISATION WITHOUT YOUR CONSENT UNLESS REQUIRED TO DO SO BY LAW.

UNDERWRITING REINSURANCE ANZIIF WILL ON OCCASION BE ASKED TO SUBMIT DELEGATE NAMES AND CONTACT DETAILS TO EVENT SPONSORS. LOSS ADJUSTING SERVICE PROVIDER ■ PLEASE TICK IF YOU DO NOT WISH YOUR NAME AND CONTACT DETAILS TO BE RELEASED TO THE SPONSORS OF THIS EVENT. OTHER (GIVE DETAILS) ■ PLEASE TICK IF YOU DO NOT WISH YOUR NAME AND COMPANY TO BE LISTED ON THE COURSE EVENT APP. 04 OPTIONAL PRE-COURSE WORK TO REVIEW ANZIIF’S FULL PRIVACY POLICY GO TO ANZIIF.COM/ABOUT/ AN OPTIONAL ONLINE SKILLS UNIT ‘ASSESS RISK’ WILL BE SENT TO YOU APPROXIMATELY PRIVACYSTATEMENT SIX WEEKS PRIOR TO THE COURSE DATE. THIS IS ESTIMATED TO TAKE ABOUT 20 – 25 HOURS TO COMPLETE. 09 EVENT TERMS & CONDITIONS FILMING FOR PERSONAL AND PROFESSIONAL PURPOSES IS STRICTLY PROHIBITED. 05 ASSESSMENT AND RECOGNITION IF FOUND BREACHING ANY OF THE ANZIIF TERMS, ANZIIF RESERVES THE RIGHT TO REMOVE DELEGATES FROM THE EVENT. BY ATTENDING AN ANZIIF EVENT YOU CONSENT AN ASSESSEMENT WILL BE UNDERTAKEN DURING THE COURSE. IF YOU ARE AN ANZIIF TO USE OF FILMING AND PHOTOGRAPHY AT THE DISCRETION OF ANZIIF. MEMBER YOU WILL RECEIVE RECOGNITION TOWARDS YOUR ANZIIF MEMBERSHIP, AS DETAILED IN THE COURSE BROCHURE. ABN: 56 004 320 076

TO CONFIRM YOUR BOOKING, CRMB, C/- ANZIIF EMAIL: [email protected] PLEASE COMPLETE THIS FORM LEVEL 7, 628 BOURKE STREET CONFERENCE AND REGISTRATION QUERIES: WITH PAYMENT AND RETURN TO: MELBOURNE VIC, 3000 AUSTRALIA (61 3) 9613 7200 152PDE_0620