Membership with Avant Mutual Group Limited ABN 58 123 154 898
Student Indemnity Insurance with Avant Insurance Limited ABN 82 003 707 471 AFSL 238765

Note: By submitting this form or otherwise providing your personal information to Avant you consent to your personal information being collected, held, used and disclosed by Avant in accordance with the Avant Privacy Policy found here

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1. Contact Information

I'm not represented here

e.g. 0400111222

e.g. 0386735015
Note: By providing my email address I consent to receiving emails from Avant in accordance with Avant’s Privacy Policy.

You will receive the Policy Wording, renewal documentation, Financial Report and Annual Report electronically. If you wish to receive these by post, please email us at

I consent to Avant contacting me in accordance with Avant’s Privacy Policy (including via email and SMS if you have provided your email address and mobile number). I understand that I may alter this consent at any time by contacting Avant.

You will receive the notice of Annual General Meeting and other member communications from Avant electronically to the email address you have nominated. If you wish to receive these by post, please contact us at

Please ensure that you maintain a current email address with us at all times so that we can ensure the successful delivery of communications to you. If you change address, change practice details or move overseas please let us know.

IMPORTANT: Professional indemnity insurance products available from Avant Mutual Group Limited ABN 58 123 154 898 are issued by Avant Insurance Limited, ABN 82 003 707 471, AFSL 238 765. The information provided here is general advice only. You should consider the appropriateness of the advice having regard to your own objectives, financial situation and needs before deciding to purchase or continuing to hold a policy with us. For full details including the terms, conditions, and exclusions that apply, please read and consider the policy wording, which is available here or by contacting us on 1800 128 268.