Please read the following documents before proceeding with your application:


I confirm that I am 18 years or over and have received and read the Personal Accident Policy Wording, Public Liability & Association Liability Policy Wording and Financial Services Guide contained herein and that, to the best of my knowledge, the information I have provided is true and hereby apply for cover under the Car Clubs Insurance policy based on the information I have provided in this Application.

If you are an existing client and have a web login, please log in (via the Client Login) before applying.

Online applications must be paid by credit card (Visa or Mastercard). For cheque or money order, please download the Application Form.

Credit Card Payments

Please proceed through to the next page.

BPay, Cheque or Pay by Monthly Instalments

Please download the Application Form.

Download Application Form