Application form for AMSA Registration

* Indicates the required fields


Name of Shed *
Street Address of Shed *
State *
Post Code *
Postal Address
State
Post Code
Shed Phone Number
Fax
Email
Website
Primary Contact Person *
Position
Address
State
Post Code
Phone *
Email *
Secondary Contact Person
Position
Address
State
Post Code
Phone
Email
AMSA registered Shed’s must be incorporated under State Legislation or must be Auspiced of an Incorporated Body. Is your shed incorporated?
If No name of Auspicing Body
Incorporation Number

AMSA registered Shed’s must hold current Public Liability coverage to $10,000,000 or be under the Auspice of an Incorporated Body with the Shed’s mentioned on that policy. If you do not have Public Liability Coverage contact AMSA on 1300 550 009 to join our group policy.

Name of Insurer
Policy Name
Policy Number
Expiry Date
Shed Activities
Opening Hours
Number of Members

Your application must be authorised by two office bearers Authorised by

Full Name *
Position *
Full Name *
Position *
Date *
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