Letter of Appointment

Repeater

Letter of Appointment

To whom it may concern,

Effective , I appoint Insurance HQ Pty Ltd (Authorised Representative of Oracle Group (Australia) Pty Ltd, AFSL No. 363610) as our insurance broker to manage our insurance policy (s) listed below for

The policy number (s) for Insurance HQ Pty Ltd to manage are as follows:

Insurer:

Policy Number:

I authorise Insurance HQ Pty Ltd to take over the administration and management of the listed policies from the date of singing this document.

This appointment replaces any existing appointment in place between and any other insurance broker.

This authority is provided to enable Insurance HQ Pty Ltd to review and quote for our insurances. It does not appoint them as our insurance broker. Whilst this Letter of Authority to Review & Quote is not on letterhead, I attest to its authenticity and intent in my capacity as .

Yours faithfully