Level 5, 276 Pitt St, Sydney NSW 2000 (Wednesday and Friday 11am-2pm) - Tel: 612 9283 3737 - email: office@quiltnsw.com

Group Insurance Application Form

THIS ONLINE FORM ACCEPTS CREDIT CARD PAYMENTS ONLY.

  • If your payment is successful, you will receive a payment receipt by email.
  • You will also receive a confirmation email, which includes the information you have provided on the form.

QuiltNSW does not collect nor store any credit card information in conjunction with this payment facility.

Applications for Group Insurance for the 2025/26 financial year have closed. Applications and renewals for public liability insurance for the 2026/27 year will open on 15 June 2026. For further information and all inquiries please contact membership@quiltnsw.com