Annual Multi Trip Travel Insurance Application

Title:

Full Name:

as it appears in your Passport/ID card

E-mail:

Mobile Phone:

include country code

Travel Starting Point:

european countries only

Travel Destination:

Maximum Trip Length:

the max duration of any trip taken during the period of insurance

Number of Travellers:

Address:

City:

Post Code:

Country:

Passport:

select multiple files by keeping Ctrl key on your keyboard pressed while selecting the files. Maximum 5mb in total.

Cover Start Date:

Payment Method:

Additional Requirements:

state here any special requirements or if you require optional cover for winter sports, golf or any other sport activities...

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Annual Multi Trip Travel Insurance Application

This form is used when you have special requirements not covered by our online 'quote and buy' system.

Please provide us with the following information in order to prepare your contract:
(the policy contract will be sent by e-mail within 48 hours)

This form is used when you have special requirements not covered by our online 'quote and buy' system.

Please provide us with the following information in order to prepare your contract:
(the policy contract will be sent by e-mail within 48 hours)

Contact Address:

Why our Travel Insurance Plans are the best in the market?

High Coverage Limits

Up to 12.000.000€ Medical Expenses

Up to 2.500.000€ Civil Liability

Up to 99 years old travelers covered

Pregnancy Coverage

24h Phone support in 20 Languages

50+ pre-existing med. conditions covered

Sport and Professional Activities coverage

Tailor Made and Group Programs

Trip Cancellation included in our Plans

More detailed Coverage & Terms? Check here

Why insuranceline? See here

Our Selected Insurers

Annual Multi Trip Travel Insurance Application

This form is used when you have special requirements not covered by our online 'quote and buy' system. Please provide us with the following information in order to prepare your contract: (the policy contract will be sent by e-mail within 48 hours)

This form is used when you have special requirements not covered by our online 'quote and buy' system.

Please provide us with the following information in order to prepare your contract: (the policy contract will be sent by e-mail within 48 hours)

Contact Address:

Why our Travel Insurance Plans are the best in the market?

High Coverage Limits

Up to 12.000.000€ Medical Expenses

Up to 2.500.000€ Civil Liability

Up to 99 years old travelers covered

Pregnancy Coverage

24h Phone support in 20 Languages

50+ pre-existing med. conditions covered

Sport and Professional Activities coverage

Tailor Made and Group Programs

Trip Cancellation included in our Plans

More detailed Coverage & Terms? Check here

Why insuranceline? See here

Our Selected Insurers

This form is used when you have special requirements not covered by our online 'quote and buy' system.

Please provide us with the following information in order to prepare your contract:
(the policy contract will be sent by e-mail within 48 hours)

Please provide us with the following information in order to prepare your contract:
(the policy contract will be sent by e-mail within 48 hours)