For enquiries or claims, call

0800RACENZ (0800 722 369)

Create a Profile
THIS IS THE IMPORTANT SECTION FOR COMPLETION PLEASE
 
By providing full details only ONCE, this information will then apply to all your chosen insurance covers.
You will not have to do it again, even if you do not take all covers now because when you come back
this detail is still held on your personal file.

NB: * indicates a compulsory field

Once you have completed all fields in the form below, please click the 'Create Account' button to create a new account.

Find your postcode here.

 
First Name*
Last Name*
Postal Address*
Suburb*
City*
Postcode
Country*
Physical address (if different from your Postal Address)
Phone Number*

How did you hear about us*
(If Other Above Please Let Us Know Where)

Who do you want your contribution to support?*
Thoroughbred racing nationally?
Your local racing club - who are they (maximum of 2 clubs)?
Local Club Name (if applicable)

Who are you currently insured with?


If you do not have a current policy please proceed to the next question.
House*
Contents*
Motor*
Boat*
Your Broker/Bank (if applicable)

Email Address*
Password:*
Confirm Password*
Information Disclosure requirement Declaration: I hereby declare that all information provided in this Quote Proposal Form is both true and correct at the date of adding my email and date above. Further, that I have not withheld any information or material facts which may impact upon the acceptance and underwriting of the risk or risks to be quoted upon.
Click here to view the disclosure requirements
Show Letter of Authority


LETTER OF AUTHORITY

I/We hereby authorise BrokerWeb Risk Services Ltd / FastTrackinsurance:

Authority to Report / Obtain a Quotation and to obtain and use all necessary information, including personal information, required to enable them to consider my/our domestic insurance requirements and obtain quotations for my/our domestic insurance policies/programme.

This includes, but is not limited to, obtaining information from previous Insurers and passing it onto Insurers who may be interested in quoting for my/our domestic insurance programme.

I/We further request that you release all particulars of my/our domestic insurance programme (including risk management and claims information) to them and render any assistance they may require.

I/We consent to BrokerWeb Risk Services sending me/us commercial electronic messages at any time in the future relative to this Authority only.

I/We understand this is an AUTHORITY TO REPORT AND QUOTE ONLY.

It is not an authority to act as my Insurance Broker.

If the report and quotation supplied via FastTrackinsurance is accepted then I/we will sign separately an “Authority to Act as Insurance Broker” form.

This authority relates to:

Client Name:
Client Email:
Date:

 

Why wouldn't you insure with FastTrack and
support NZ Horse Racing?

Whilst NZTR and HRNZ endorses the FastTrackinsurance initiative, BrokerWeb Risk Services Limited is solely responsible for the promotion, sale and all related insurance matters of the Specified Insurance Policies being sold via this website. FastTrackinsurance is a division of BrokerWeb Risk Services Ltd.

 

Some Of Our Associations

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Contact us

0800RACENZ (0800 722 369)
info@fasttrackinsurance.co.nz
   
FastTrackinsurance