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Insurance application    

Title Surname Name
Street Zipcode City
Phone Fax Email
Shopped article Price Accessory
Invoice number Date of purchase Country of purchase
Value Added Tax I am exempt from paying this!


Notes:

The contract shall commence immediately upon completion, the insurance coverage will begin upon receipt of the goods by the customer! Duration is 24 months. The Agreement shall terminate automatically without any prior notice. The information you provide will only be used to personalize our services and not given to third parties.

At questions you contact us by phone under +49 761 80 60 80 or by mail under info@fotofairsicherung.







Yes, I have received and read by downloading the contract-related documents and guidance documentation!

Yes, I would like to conclude the insurance contract!

Payment method

Premium for 2 years -
inclusive insurance taxes.

nnnn.nn Euro