requestForm

REQUEST FORM

Please complete the following and a RemServ consultant will be in touch to discuss your salary packaging request.

Which best describes your request?: *
I would like to start salary packaging my electricity and/or public transport I would like to add electricity and/or public transport to my existing salary package I would like general information on salary packaging
Your details
First Name: *
Surname: *
Employer: *
Preferred Contact Number: *
Another Number To Try:
Email Address:
How did you hear about this benefit:

© 2005 - 2012 Remuneration Services (Qld) Pty Limited l ABN: 46 093 173 089 Auth. Rep No. 293159 of
McMillan Shakespeare Limited (AFSL No. 299054), Australian Reliance Pty Ltd (AFSL No. 227041),
Swann Insurance (Aust) Pty Ltd (AFSL No. 238292) and The Hollard Insurance Company (AFSL No. 241436)