Your travel

Quotation

Your details

Payment

Hidden

affiliate

referal

Hidden

Insurance_price

ocl

age2

age1

Hidden

insurance_name

Currency

Total Number of Beneficiaries

Hidden

CountryOfDeparture

Hidden

CountryOfArrival

Hidden

number of days

Date of Departure*

Return Date*

Modify search

Hidden

Traveller Details

Name*

First

Last

Address*

Country of Residence*

Phone*

Email*

Alternate Email

Passport Number*

Nationality*

Date of Birth*

Additional traveller 1

Name*

First

Last

Passport Number*

Date of Birth*

Nationality*

Additional traveller 2

Name*

First

Last

Passport Number*

Date of Birth*

Nationality*

Additional traveller 3

Name*

First

Last

Passport Number*

Date of Birth*

Nationality*

Additional traveller 4

Name*

First

Last

Passport Number*

Date of Birth*

Nationality*

Additional traveller 5

Name*

First

Last

Passport Number*

Date of Birth*

Nationality*

Additional traveller 6

Name*

First

Last

Passport Number*

Date of Birth*

Nationality*

Additional traveller 7

Name*

First

Last

Passport Number*

Date of Birth*

Nationality*

Additional traveller 8

Name*

First

Last

Passport Number*

Date of Birth*

Nationality*

Additional traveller 9

Name*

First

Last

Passport Number*

Date of Birth*

Nationality*

Section visible

Ce champ permet d'afficher les informations ci-dessous. Il met fin à la section qui affiche ou non les additional travelers

Consents

Platinium renewal

Travel serenely by choosing our free yearly renewal option

Yes

I accept that Insurte and its partners use my personal data to send me, especially by email, information on their products and services, according to our Privacy Policy.

I accept

You declare that you have read, before any agreement, the pre-contractual information notice, the insurance product information document (IPID), the Terms & Conditions, the General Conditions of Use, the Legal Notice, the Privacy Policy, the Cookies Policy, and the Disclaimer. You agree that the entire purchasing process is online, including your consent and that you will not receive a paper version. You agree that this website is governed by the laws of the Republic of France, you must verify if the law of your country of origin or any other country that may apply to you forbids it, should this not be the case, cease this purchase and this session web. You recognize that the guarantees, as described in the Terms & Conditions, constitute a solution adapted to your needs and requirements. You thus agree to take out the Visa travel Insurance Contract and to authorize the processing of your personal data according to our Privacy Policy. You confirm that you have the legal capacity to contract.

You can select your currency to pay, however your contract remains in Euros, subject to French insurance tax, the French Insurance Code and French law.

I agree

You declare that you have read, before any agreement, the pre-contractual information notice, the insurance product information document (IPID), the Terms & Conditions, the General Conditions of Use, the Legal Notice, the Privacy Policy, the Cookies Policy, and the Disclaimer. You agree that the entire purchasing process is online, including your consent and that you will not receive a paper version. You agree that this website is governed by the laws of the Republic of France, you must verify if the law of your country of origin or any other country that may apply to you forbids it, should this not be the case, cease this purchase and this session web. You recognize that the guarantees, as described in the Terms & Conditions, constitute a solution adapted to your needs and requirements. You thus agree to take out the Visa travel Insurance Contract and to authorize the processing of your personal data according to our Privacy Policy You confirm that you have the legal capacity to contract.

You can select your currency to pay, however your contract remains in Euros, subject to French insurance tax, the French Insurance Code and French law.

I agree

You declare that you have read, before any agreement, the pre-contractual information notice, the insurance product information document (IPID), the Terms & Conditions, the General Conditions of Use, the Legal Notice, the Privacy Policy, the Cookies Policy, and the Disclaimer. You agree that the entire purchasing process is online, including your consent and that you will not receive a paper version. You agree that this website is governed by the laws of the Republic of France, you must verify if the law of your country of origin or any other country that may apply to you forbids it, should this not be the case, cease this purchase and this session web. You recognize that the guarantees, as described in the Terms & Conditions, constitute a solution adapted to your needs and requirements. You thus agree to take out the Visa travel Insurance Contract and to authorize the processing of your personal data according to our Privacy Policy You confirm that you have the legal capacity to contract.

You can select your currency to pay, however your contract remains in Euros, subject to French insurance tax, the French Insurance Code and French law.

I agree

You declare that you have read, before any agreement, the pre-contractual information notice, the insurance product information document (IPID), the Terms & Conditions, the General Conditions of Use, the Legal Notice, the Privacy Policy, the Cookies Policy, and the Disclaimer. You agree that the entire purchasing process is online, including your consent and that you will not receive a paper version. You agree that this website is governed by the laws of the Republic of France, you must verify if the law of your country of origin or any other country that may apply to you forbids it, should this not be the case, cease this purchase and this session web. You recognize that the guarantees, as described in the Terms & Conditions, constitute a solution adapted to your needs and requirements. You thus agree to take out the Visa travel Insurance Contract and to authorize the processing of your personal data according to our Privacy Policy You confirm that you have the legal capacity to contract.

You can select your currency to pay, however your contract remains in Euros, subject to French insurance tax, the French Insurance Code and French law.

I agree

You can select your currency to pay, however your contract remains in Euros, subject to French insurance tax, the French Insurance Code and French law.

I agree

NumberOfAdditionalBeneficiaries

Hidden

renewal

Number Insurance Plan

Hidden

If missing price

LangueContrat

Ce champ permet de gérer les langues ES et PT pour le chargement des contrats

Mutuaide Deductible

Please enter a number from 1 to 1.

Ce champs permet d'afficher le Deductible dans les contrats PDF et da faire la regle Stripe

Product Name

Total

Hidden

checksum*

Hidden

search criteria entry id

Hidden

Section Break

Your insurance

Plan

Beneficiaries

Total

Hidden

Insurance price format

Refund in case of visa refusal

Hidden

Status new deal