Garden Clubs of Australia Logo

FORM B. MEMBERSHIP 2022

Complete this form and return to:
The Garden Clubs of Australia Inc.
11 North Terrace,
Dapto NSW 2530

For all enquiries please call the treasurer on 02 4260 8364 or 0408 415 748

Authorise The Garden Clubs of Australia Incorporated, User Id 069621 to arrange for funds to be debited from our account at the financial Institution identified below and as prescribed below through the Bulk Electronic Clearing System.

This authorisation is to remain in force in accordance with the terms described in the attached Direct Debit Request Service Agreement.
We request that you debit our account in accordance with our Agreement.

TO BE COMPLETED BY ACCOUNT SIGNATORIES

Direct Debit payments are for Annual Affiliation Fees, Annual Magazine Subscriptions and Insurance Premiums.
Direct debit dates and dollar values will be advised in writing at least 30 days before the due date.

The club acknowledges receiving and reading the Direct Debit Request Service Agreement and agrees to its terms.
The Direct Debit arrangements continue until ended as set out in the Service Agreement.

TO BE COMPLETED BY CLUB SIGNATORIES

OFFICE USE ONLY

Garden Clubs of Australia Logo

FORM 2. INSURANCE / RENEWAL APRIL 2026 – APRIL 2027

During February/March 2026 you will receive an Insurance Notice from the GCA for the premium due for your insurance cover for 2026/2027 (4.00pm 30th April 2026 to 4.00pm 30th April 2027).

In order that the correct Insurance premium amount is shown on your notice, GCA needs to receive your MAXIMUM MEMBERSHIP NUMBERS in the 12 months to the date you complete this form. This number should include all members you want covered by the GCA Insurance – Financial Members, Life Members, Social Members, Junior Members, Joint Members.

IMPORTANT: If you do not wish to renew your insurance, please notify us by February 19, 2026.

When you receive your Insurance Certificate, advise your Club Committee where it is filed and perhaps send the electronic copy to other Executive Committee members.

PLEASE COMPLETE THIS FORM TO ENSURE ACCURATE COST OF PREMIUM.

DUE DATE: RETURN THIS SECTION BY 19th FEBRUARY 2025. (It may be sent from now until then.)

Please indicate if your club holds large commercial events, for which an additional premium may be required*

*A large event is defined as one where more than 1000 non-members attend over the life of the event. Separate cover must be obtained for these events each year. The relevant application form can be found on the GCA web site or can be posted on request.

Press submit button below once complete.

Otherwise email completed form to:
insurance@gardenclubs.org.au

Or print and post to:
Director of Insurance,
The Garden Clubs of Australia Inc.
1 Addington Street, Burdell, Qld, 4818

Garden Clubs of Australia Logo

FORM 5. REQUEST FOR REPLACEMENT OF INSURANCE CERTIFICATE OF CURRENCY

 Please Complete the following information 

I certify that our Club’s CERTIFICATE OF CURRENCY IS LOST and request a replacement Certificate to cover the Club’s activities until April 30th, of the current Insured year. I have paid the fee of $21 as a direct/deposit payment as required:

To: GCA BANK ACCT 062000 00922899

The reference I used in this transaction and recorded on the deposit was:

Once this form has been submitted a replacement Certificate will actioned then be emailed to your Club Secretary after a replacement Certificate of Currency has been arranged.

Continued Insurance Cover from 30 April
1. You will be required to pay the normal fee for the Insurance Cover based on the number of members that your Affiliated Club has for the next Insurance period.
2. Please complete a GCA Form 2 for the next Insurance period, (for example, 30 April each year to 30 April the following year) by 19th February each year and send it to the GCA Director of Insurance via email or post.

Garden Clubs of Australia Logo

FORM 6: INSURANCE INCIDENT REPORT FORM

 In the event of PERSONAL INJURY OR PROPERTY DAMAGE this form must be completed.

IMPORTANT :

A. DO NOT make any public statements or admit fault of any kind.
B. DO NOT offer to pay for any expenses incurred.

DETAILS OF INJURED PERSON & THE INCIDENT 

Is the person a financial member of the club

What outward signs were visible in the person?

Normal
Visible Injury
In Pain
Distressed
the person show any signs of being affected by alcohol and/or drugs?

For incidents occurring on premises.

Was the accident caused by any foreign matter on the floor?

• Where possible photograph the place of accident as soon after the incident notating place and time on the rear of photo.
• All documentation of the incident must be kept in a safe place for 8 years (or whatever your state limitations are).

Once completed keep this form as your club’s record and send a copy to:

GCA Insurance
1 Addington Street,
BURDELL QLD 4818

Or send a scanned copy to insurance@gardenclubs.org.au

Mobile 0404 163 678

IF YOU ARE MAKING AN ACTUAL CLAIM YOU NEED TO COMPLETE A CLAIM FORM FROM THE APPROPRIATE INSURER

You must report any claims made against you and all developments made known to you to the insurer at once and forward any correspondence, unanswered, immediately upon receipt. Likewise any legal proceedings seeking damages such as Writ, Summons, and Statement of Claim should be forwarded to the insurer immediately they are received.