SPEAKERS: Climate Change andDallas Booth Vulnerable PopulationsCEO, NIBA

Design and Distribution REGISTRATION FORM / TAX INVOICE Obligations PLEASE COMPLETE FORM IN BLOCK LETTERS. PAYMENT MUST ACCOMPANY REGISTRATION FORM. WEBINAR

DATE: WEDNESDAY 3 MARCH 2021 TIME: 12:00 PM – 1:00 PM AEST : $35* NEW ZEALAND: $37.50*

CONTACT DETAILS (ALL FIELDS ARE COMPULSORY)

TITLE ■ MR ■ MRS ■ MISS ■ MS ■ DR FIRST NAME LAST NAME MASTER ID DATE OF BIRTH

EMAIL ORGANISATION POSITION

ADDRESS SUBURB/CITY STATE POSTCODE PHONE

REGISTRATION / ATTENDEE DETAILS ATTENDEE DETAILS MUST BE PROVIDED BY TUESDAY, 2 MARCH TO [email protected]. CONFIRMATION WILL BE SENT TO EMAILS LISTED BELOW:

NAME COMPANY EMAIL MASTER ID MEMBER Y / N AMOUNT $

* PRICES ARE PER REGISTRATION AND ARE INCLUSIVE OF GST. TOTAL $

PAYMENT DETAILS CANCELLATION THIS DOCUMENT BECOMES YOUR TAX INVOICE WHEN FULLY COMPLETED AND PAYMENT IS MADE. PRICES INCLUDE GST. A FULL REFUND LESS 25% SERVICE CHARGE WILL BE MADE FOR CANCELLATIONS ADVISED BY LETTER OR EMAIL UP TO FIFTEEN MY REGISTRATION FEE WILL BE PAID BY (PLEASE TICK ONE): ■ CHEQUE ENCLOSED ■ CREDIT CARD ■ EFT (15) WORKING DAYS PRIOR TO THE EVENT. REGRETTABLY NO REFUNDS CAN BE MADE AFTER THIS TIME. IN CASE OF EXCEPTIONAL PLEASE DEBIT MY (PLEASE TICK): ■ VISA ■ MASTERCARD ■ DINERS CLUB ■ AMEX CIRCUMSTANCES PLEASE CONTACT CUSTOMER SERVICE. IN THE EVENT OF A REGISTRANT’S INABILITY TO ATTEND A SUBSTITUTE DELEGATE IS WELCOME. PLEASE EMAIL REPLACEMENT TO [email protected] CARD NUMBER EXPIRY DATE PRIVACY POLICY *Please read carefully CARDHOLDER’S NAME AMOUNT A$ ANZIIF COLLECTS AND STORES YOUR PERSONAL INFORMATION FOR THE PURPOSES OF PROVIDING AND PROMOTING CONTINUING PROGRAMS AND MEMBERSHIP SERVICES. THE INFORMATION YOU PROVIDE WILL NOT BE RELEASED TO ANY OTHER CARDHOLDER’S SIGNATURE DATE PERSON OR ORGANISATION WITHOUT YOUR CONSENT UNLESS REQUIRED TO DO SO BY LAW. YOUR NAME AND CONTACT INFORMATION MAY BE PROVIDED TO THIRD PARTIES IN ORDER TO ADMINISTER THE EVENT. YOUR INFORMATION AND CONTRIBUTIONS CHEQUES TO BE MADE PAYABLE TO: MAY ALSO BE VISIBLE TO OTHER PARTICIPANTS DURING THE WEBINAR. ANZIIF WILL ON OCCASION BE ASKED TO SUBMIT DELEGATE AUSTRALIA NAMES AND CONTACT DETAILS TO EVENT SPONSORS. ACCOUNT NAME: AUSTRALIAN AND NEW ZEALAND INSTITUTE OF AND FINANCE BANK: NATIONAL BANK AUSTRALIA LTD ■ PLEASE TICK IF YOU DO NOT WISH YOUR NAME AND CONTACT DETAILS TO BE RELEASED TO THE SPONSORS OF THIS EVENT. BRANCH: 330 COLLINS STREET, TO REVIEW ANZIIF’S FULL PRIVACY POLICY GO TO ANZIIF.COM/ABOUT/PRIVACYSTATEMENT BSB: 083 004 ACCOUNT NUMBER : 51511 7195 SWIFT CODE: NATAAU3303M OR EVENT TERMS & CONDITIONS NEW ZEALAND FILMING FOR PERSONAL AND PROFESSIONAL PURPOSES IS STRICTLY PROHIBITED. IF FOUND BREACHING ANY OF THE ANZIIF TERMS, ACCOUNT NAME: AUSTRALIAN AND NEW ZEALAND INSTITUTE OF INSURANCE AND FINANCE ANZIIF RESERVES THE RIGHT TO REMOVE DELEGATES FROM THE EVENT. BANK: BANK OF NEW ZEALAND BY ATTENDING THIS EVENT YOU CONSENT TO USE OF FILMING AND PHOTOGRAPHY AT THE DISCRETION OF ANZIIF. BRANCH: WELLINGTON BRANCH ACCOUNT NUMBER : 02 0500 0550383 025 SWIFT CODE: BKNZNZ22 TO CONFIRM YOUR BOOKING, PLEASE COMPLETE THIS FORM WITH PAYMENT AND RETURN TO THE ANZIIF CUSTOMER SERVICE TEAM VIA EMAIL. WHEN PAYING BY EFT, REMITTANCE, DELEGATE NAME/S AND EVENT NAME MUST BE SENT VIA EMAIL TO [email protected] AND [email protected] EMAIL: [email protected] | PHONE: +61 (3) 9613 7200 186PDE_0121 ENJOY THE BENEFITS OF ANZIIF MEMBERSHIP

For $270 (Allied membership), you can become ANZIIF is the leading membership body and provider of education, training and professional development services to an ANZIIF member and enjoy all membership the insurance and financial services industry in the Asia-Pacific region. benefits, as well as receive a recording of this ANZIIF members are recognised as industry professionals committed to learning and professional development. In webinar. 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 learning – Professional Development Activities The Members’ Centre

CIP/CPD Points Register E-newsletters

Yes, sign me up to become an The Journal Customised member experience ANZIIF member. A customer service representative will contact you to process your membership payment. ANZIIF WEBINARS Membership valid until 31 December 2021. ANZIIF is pleased to introduce our new program of interactive webinars. This offers you the flexibility to attend a premium ANZIIF program and engage with industry experts from wherever it suits you best. We are excited to provide a digital solution for your continuing professional development (CPD) needs. Upcoming webinars will cover a wide range of topics, so you can gain valuable industry insights and knowledge that is directly relevant to your field of work. Put on your headphones, open your notepads and prepare your industry related questions for our line-up of experts to discuss.

Please return this form along with your webinar registration form to the ANZIIF Customer Service team via email. Email: [email protected] | Webinar and registration queries: +61 (3) 9613 7200 157PDE_0420