This form is only to collect your information. This information will then be transferred to the actual contract which we will send to you once we have received this form back. The privacy of your personal information is paramount. Some changes have been recently made to the Privacy Act in Australia. We've been updating our Privacy Policy to make it even clearer about how we collect, use, store and disclose your personal information. For full details please refer. www.oneagency.com.au/privacy-policy. By signing this form you consent to our Privacy Policy.