Insurance form

* Indicates the required fields

Australian Mens Shed Association Incorporation No INC9886884 Insurance Membership Application IMPORTANT NOTICE Insurance policy coverage not active until full payment received within 14 days of invoicing.
Do you wish for your membership to include AMSA Insurance *

Membership fee to AMSA only applicable for members requiring Insurance. 0-20 Members = $18 per member maximum $360 20-50 Members= $16 per member maximum $800 50-100 Members=$14 per member maximum $1400 100 plus Members=$12 per member


Incorporation or ABN Number: (must be incorporated or have an ABN or under the auspice of an incorporated body to be eligible for AMSA insurance)

Name Of Shed *
Incorporation Number *
Shed Address
Name of person authorised to make application *
Contact Phone *
Contact Email *
Date of Application
Shed Activities *
Number of Members *

Australian Mens Shed Association