Covered Party / Members Name
*
ABN
Contact Number
*
Email Address
*
Member Address
*
ASA Membership Number
*
This insurance is available to ASA Members only. Not a member? Join by visiting https://www.asauthors.org/membership
Limit of Indemnity Required
*
$5,000,000
$10,000,000
$20,000,000
Business Activities (Please select all that apply)
*
Writing
Editing
Workshops
Seminars
Book Signing / Sales
Public Speaking
Does your business conduct any other business activities not described above?
*
Yes
No
If yes, please list the additional activities
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