trip cancellation travel insurance ellation and interruption insurance

TRIP CANCELLATION AND INTERRUPTION
TRAVEL INSURANCE
QUESTIONS ? CALL
Quattro Assurances
TEL +33 (0)5 65 100 100
TEL:
FAX: +33 (0)5 65 10 17 18
If before departure or during your holiday, you cancel or interrupt your stay, we
will refund any expenses incurred in the following circumstances:
circumstances
-
[email protected]
Serious illness, serious accident or death
Destruction of professional or private premises
premise
Theft from private or professional premises
Redundancy
Serious damage to your vehicule or caravan
Complications of pregnancy
Acquisition of a fixed term contract
PRICES
1 to 8 nights
package
1 to 24 nights
package
Additional night in addition
to a package
Camping site pitch
8,40 €
17,85 €
2,5 €
Accommodation
9,45 €
21 €
2,5 €
Cancellation/ Interruption
SUBSCRIPTION FORM TO QUATTRO INSURANCE POLICY
INSURED BY ALLIANZ EUROCOURTAGE N° 78630182
SUSCRIBER:
ACCOMPANIED BY:
Name / First name
Address
Post code
Country of residence
Name . . . . . . . . . . . . . . . . . First name . . . . . . . . . .
Name.. . . . . . . . . . . . . . . . . .First
.
name . . . . . . . . . .
Name. . . . . . . . . . . . . . . . . .First
.
name . . . . . . . . . .
Name.. . . . . . . . . . . . . . . . . .First
.
name . . . . . . . . . .
City
Telephone number:
Email: _________________________________________
______________________________________________________________________________
_____________________________________________
Reservation from . . . / . . . / . . . . . . to . . . . /. . . . /. . . . . .
Place of residence during your stay : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Payment by
□ Cheque □ Postal
ostal order □ Credit Card on our website www.quattro.fr (‘’paiement en ligne’’)
Done in _______________________ Date ________________ Signature:
Return this document with your payment as soon as your reservation and no later than 1 month before the
start date of your stay, to your camping or to Quattro Assurances - BP 73 - 46400 Saint Céré FRANCE
WARNING: Without this form signed on your part, your insurance Cancellation
Cancellation / Interruption will not be
effective and you will not be covered.
Bulletin d’adhésion 0310 pol. f78630182.
Contrat souscrit par QUATTRO Assurances BP73 46400 SAINT-CERE
SAINT
- RCS Paris B350894846 immatriculé à l’ORIAS en qualité de courtier sous le n°07001752 sous
le contrôle
trôle de l’ACAM, 61 rue Taitbout 75 009 PARIS. Responsabilité Civile Professionnelle et Garantie Financière conformes aux articles
ar
L512-6 et L512-7 du Code
des Assurances. Le produit QUATTRO Annulation est assuré par Allianz IARD - Société anonyme au capital de 938 787 416 euros Siège social : 87, rue de Richelieu
75002 Paris - 542 110 291 RCS Paris..
Paris La gestion des prestations assistance est confiée à MUTUAIDE ASSISTANCE, entreprise régie par le Code des Assurances. S.A.
au capital de 9.590.040 € - 383 974 086 RCS Créteil