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International Corporate/Group Insurance

International Corporate/Group Insurance


Our Company/Organisation is interested in the following insurance solutions:
International Health Insurance (Coverage in case of accident and illness)
Travel insurance - assistance programs
Risk insurance (Disability and death cover)
Saving plans
General enquiries


Contact person
Salutation*
First name*
Last name*
Telephone number (incl. country code)*
E-mail*
Confirm e-mail*
Preferred correspondence language*


Company information
Name of Company*
Street or PO Box
Post Code
City*
Country*
Company website


Do you have any specific questions?


How did you find us?
Please let us know how you found or heard about us. Thank you!
 
I was referred by (please indicate who recommended us to you)
I searched on the Internet. I used the following search engine
I saw an advertisement (please specify where)
I read an article in (please specify publication)
Other (please specify)



*required information

Important Note: All information is treated with highest confidentiality once received by us. However, data contained in this form may be viewed by third parties while in transit. For maximum information security print this form and send it by fax or mail.

Due to international differences in legislation and regulatory constraints, Swiss Insurance Partners make no warranty of any kind, express or implied, regarding the availability of any product or insurance scheme in any country.