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Travel Insurance Proposal Form


MR MRS MISS MS
NAME:
UNDER 2 2 - 18 70 & OVER
FAMILY UNIT
DELETE LUGGAGE MONEY & VALUABLES
WINTER SPORTS
PREMIUM
MR MRS MISS MS
NAME:
UNDER 2 2 - 18 70 & OVER
FAMILY UNIT
DELETE LUGGAGE MONEY & VALUABLES
WINTER SPORTS
PREMIUM
MR MRS MISS MS
NAME:
UNDER 2 2 - 18 70 & OVER
FAMILY UNIT
DELETE LUGGAGE MONEY & VALUABLES
WINTER SPORTS
PREMIUM
MR MRS MISS MS
NAME:
UNDER 2 2 - 18 70 & OVER
FAMILY UNIT
DELETE LUGGAGE MONEY & VALUABLES
WINTER SPORTS
PREMIUM
MR MRS MISS MS
NAME:
UNDER 2 2 - 18 70 & OVER
FAMILY UNIT
DELETE LUGGAGE MONEY & VALUABLES
WINTER SPORTS
PREMIUM
MR MRS MISS MS
NAME:
UNDER 2 2 - 18 70 & OVER
FAMILY UNIT
DELETE LUGGAGE MONEY & VALUABLES
WINTER SPORTS
PREMIUM

WINTER SPORTS INCLUDED:


FROM
TO
TOTAL NUMBER OF DAYS

1. UK (including Channel Isles and Isle of Man)
2. Europe (including the Republic of Ireland and all countries bordering
the Medeterranean Sea, Madeira, Canary Islands and Azores but excluding Syria).
3. Worldwide EXCLUDING U.S.A and Canada
4. Worldwide INCLUDING U.S.A and Canada

PREMIUM (including Insurance Premium Tax)







Terms and Conditions

 

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