Update your personal details

Title

• Miss
• Master
• Ms
• Mrs
• Mr
• Doctor

Your full name:

Member number:

Do you want to update your phone number?

• Yes
• No

Do you want to update your mobile number?

• Yes
• No

Please provide your new mobile number

Do you want to update your home phone number?

• Yes
• No

Please provide your new home phone number

Do you want to update your work phone number?

• Yes
• No

Please provide your new work phone number

Do you want to update your address?

• Yes
• No

Please provide your current address

Please provide your new address

When are you planning to move?/When did you move?

Which product(s) do you hold with MAS?

• Contents insurance
• Motor Vehicle insurance
• Life, Income and/or Disability insurance
• KiwiSaver and/or RSP
• other

How many unrelated tenants do you live with at your new address?

Not including yourself or your significant other.

• 0
• 1
• 2
• 3
• 4 or more

Is there an alarm at the property?

• Yes, monitored
• Yes, unmonitored
• No

Is there a sprinkler (for putting out fires) at your new address?

• Yes
• No

Are you aware of any flooding at the property in the last 5 years?

• Yes
• No

When did the flooding occur?

Are you aware on any burglaries at the property in the last 5 years?

• Yes
• No

When did the burglary/burglaries occur?

Where will your car be parked at the new address?

• Street
• Garage
• Carport
• Other