Agency Allianz - Franck Haloche

Agency Allianz - Franck Haloche

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Holiday insuranceHoliday Insurance Form

To receive a quotation for Holiday Insurance, please fill in the following details and click SEND. We will then respond to you as soon as possible.

     
Your Name:
 
Address:
 
Telephone:
 
Email Address:
 
Country in which are you going on holiday:  
Who are you going on holiday with?  
For how long will you be away?  
When will you be leaving?
(date DD/MM/YYYY)
 
     
Quotation in French only?  
     
 
 
Please call us on 0033 (0)2 43 05 21 82 if you have any problem with this form
     
   
     

 

Agency Allianz - Franck Haloche

1 rue Louis Blériot
Parc d’activités des Sémondières
53500 ERNEE
France


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Tel: 0033 (0)2 43 05 21 82
EMail: 4005417@agents.allianz.fr