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Office use only Policy Number ATCSI00035 Claim Number PERSONAL INJURY CLAIM FORM INSURANCE BROKER FOR TABLE TENNIS AUSTRALIA V-Insurance Group Pty Ltd Authorised Representative No. 432898 an authorised representative of Willis Australia Limited AFSL 240600 Level 28 Angel Place 123 Pitt Street SYDNEY NSW 2000 Phone 02 8599 8660 or local call cost only 1300 945 547 Fax 02 8599 8661 Email sports vinsurancegroup.com CLAIM FORMS ARE TO BE SENT TO ATC Insurance Solutions Level 9 499 St Kilda Road...
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