Life Insurance

We receive multiple inquiries about Life Insurance so to meet this need GALVANiiZE Insurance has established a trusted referral partner via Steadfast Life Insurance.

They are experts in life insurance, and have already helped many of our clients with a tailored Life Insurance product.

Steadfast Life understand that life can be unpredictable, and things can change in an instant. They are here to help protect you, your family and your business from the unexpected.

If you would like a Life Insurance quote or an alternative solution to your current policy all you have to do is complete the following referral questionnaire and a trusted Steadfast Life Insurance broker will be in touch within 48 hours.

LIFE INSURANCE REFERRAL FORM

Please do not close the web page or clear your browser until you submit the form, or the information will be lost.
Please ensure all questions are answered or otherwise the form will not submit.
If there is insufficient room on the form please provide additional information via email to david@galvaniize.com.au.

1. Date: 24/01/2025
2. To: Steadfast Life
3. Referral Partner Company: GALVANiiZE Insurance
(CAR 471763) (ABN 26 600 154 354) (AR 471764)
4. Name of Referrer: David McEwan
5. Your Name:*
6. Phone Contact:*
7. Preferred time to contact:*
8. Email Address:*
9. City:*
10. Occupation:*
11. Industry:*
12. Do you require the following:

i. Personal
i. Unsure need advice*
- Yes
- No
ii. Life*
- Yes
- No
iii. Total Permanent Disablement*
- Yes
- No
iv. Trauma*
- Yes
- No
v. Income Protection*
- Yes
- No
ii. Business:
i. Unsure need advice*
- Yes
- No
ii. Key Man*
- Yes
- No
iii. Buy sell*
- Yes
- No
iv. Business expenses*
- Yes
- No
13. Group Insurance:
i. Has existing cover:*
- Yes
- No
ii. Unsure need advice*
- Yes
- No
14. Any additional comments:*
- Yes
- No
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Phone
1300 088 008

International Phone
+612 888 00 770

Office Locations:
NSW, VIC, QLD, WA, SA and TAS

Postal Address:
12/13 Gibbens Road, West Gosford NSW 2250, The Palms Business Park

电话
1300 088 008

办公室地点:
悉尼, 墨尔本, 布里斯班, 阿德莱德, 珀斯

邮寄地址:
Refer to Erina address on Home Page

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Galvaniize Pty Ltd ABN 26 600 154 354 CAR 471763 Corporate Authorised Representative and David McEwan AR 471764 Authorised Representative of Community Broker Network Pty Ltd T/As Community Broker Network (CBN) ACN 096 916 184 AFSL 233750. CBN are a Steadfast Group Limited subsidiary. Steadfast are a public listed company and listed on the Australian Stock Exchange.

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PHONE: 1300 088 008

INTERNATIONAL: +612 888 00 770

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