Assure ton sport

What type of sport will you insure?^*

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Number of people to be insured^*

Insurance duration^* Per day Per year

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Start date^*

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Last Name^*

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E-mail address *^*

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Phone Number^*

Address 1^*

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^* I declare that all the statements I made and that served to establish this contract are correct.

^* I hereby declare that I have read and understood the General Terms and Conditions and Information Form ref GSL / ASSTSP012023 or ref GSL / ASSTSP012023M as applicable, as well as the information document.

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For what type of sport you will be insured?

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Number of people to insure:

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Departure Country:

Destination Country

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Ending date

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Hospital Daily Allowances (0€) Need to insure your luggage Cancellation for any type of accident? Professional athlete Competition

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