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First Name
Last Name
Email Address
Mobile Number
Date of birth
Buyer's Protection is only available to people aged 18-64 years of age. Refer to for alternative insurance options.
I reside in Australia
You must reside in Australia to qualify for Buyer's Protection. Refer to for alternative insurance options.
I am currently employed
Not working means you are not eligible to claim Disability or Involuntary Unemployment benefits. You can claim on all the other benefits. You pay the same premium regardless of the benefits you claim or are eligible for, but you still get the same maximum policy benefit of $20,000. Consider if this product is right for you and call us if you want to purchase 1800 800 230.
I agree that all information entered into this application to be true
I have read and understood the <a href=""" target="_blank">combined FSG, PDS and Policy</a> <br />and agree to receiving Buyer's Protection documents electronically.
I want to purchase Buyer's Protection and if approved I authorise Latitude Finance Australia to debit premium from my GO Mastercard account starting the statement date after approval.