Страхование туриста на Кипре. Шаг второй

Step 2: Choose a Deductible and Coverage Amount

Congratulations! You have successfully obtained your initial quote. Please finalize your deductible and maximum coverage, then complete the application.

Your Quote:

$9.00 (can be different) (U.S. Dollars)

Your Age:

18-29

Term:

6 days

Deductible:

Maximum Coverage:

Online Fulfillment Selected

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Step 3: Apply for Coverage

Personal Information:
Primary Name: (first/middle/last)
Date of Birth:
Primary Passport #:
Country of Citizenship:
Home Country:

Mailing Address:
Name:
Address:

City:
State:
Zip/Postal Code:
Country:
Telephone:
Email:

Policy Information
Requested Effective Date:	01/01/2009
Date of Departure from Home Country:	01/01/2009
Date of Return to Home Country:	01/06/2009
Destination Countries: For multiple selections: On PC - hold down <Ctrl> key On MAC - hold down <Command> key Or press	Если необходима Шенгенская виза, то выбирайте все страны, входящие в Шенген.
Destination(s) Selected:
Name of Beneficiary:
Plan Type:	Atlas International
Policy Cost with Selected Deductible:	$9.00 (U.S. Dollars)

Payment Information
We accept Visa, MasterCard, American Express and Discover Card only.
Payment Method:
Card Number:
Expiration Date:	/
	Same as Mailing Information
Name on Card:
Billing Address:

City:
State:
Zip/Postal Code:
Country:
Daytime Phone #:
Agent Information:	23722

Terms and Conditions:
	I hereby apply for membership in the Atlas/International Citizen Group Insurance Trust, Hamilton, Bermuda and for the insurance provided to members by Lloyd's. I understand that the insurance applied for is not a general health insurance policy, but is intended for use in the event of a sudden and unexpected event while traveling outside my Home Country. I understand this insurance contains a Pre-existing Condition exclusion, a Pre-notification Penalty and other restrictions and exclusions. I understand that if I am eligible for Extensions and Renewals of this insurance that they may only be transacted on line and will not be effective unless such transaction is confirmed in writing by MultiNational Underwriters<sup>R</sup>, and I understand that Renewals may be transacted only within the thirty (30) days immediately preceding my current coverage expiration date. I understand that the information contained herein is a summary of the Master Policy and that I may obtain a complete copy of the Master Policy upon request to MultiNational Underwriters<sup>R</sup>. I understand that Lloyd's, as underwriter of the plan, is solely liable for the coverage and benefits provided under the insurance. I understand that Lloyd's operates as an approved, non-admitted insurer in all states of the United States except Illinois and Kentucky where they are admitted. As such, claims under this insurance may not be made against any state guaranty fund. I understand and agree that the insurance agent/broker, if any, assisting with this Application is a representative of the Applicant. If signed by a representative of the Applicant, the undersigned warrants his/her capacity to so act. If signed as guardian or proxy of the Applicant, the undersigned warrants his/her capacity to so act. By acceptance of coverage and/or submission of any claim for benefits, the Applicant ratifies the authority of the signer to so act and bind the Applicant. FL Residents: Rates include 5.1% Surplus Lines Taxes and Fees
By clicking "Confirm Order", I agree to the above Terms and Conditions and I authorize MultiNational Underwriters^R to debit my VISA, MasterCard, American Express or Discover Card account for the amount specified above. Coverage purchased by credit card is subject to validation and acceptance by the credit card company. Premiums are non-refundable after your effective date. If requesting cancellations, you must notify MNU, IN WRITING, PRIOR to the effective date for a full refund. Overnight charges are not refundable.

Only click this button once or your credit card may be charged more than once for this purchase.

Nikolas
Call us at:	+35796383940
Email:	prokipr.ru@gmail.com

prokipr.ru@gmail.com

Privacy Policy

Купить страховку туриста для Шенгенской визы онлайн


	Я понимаю английский и хочу купить страховку немедленно.


	Перейти к ознакомлению с процессом оформления страховки: Шаг 1 Шаг 2 Шаг 3 Шаг 4 Шаг 5 Шаг 6 Шаг 7

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