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INSURE WITH EXPLORE
Annual Multi-Trip policy conditions
This page can also be downloaded from our website: www.explore.co.uk
ANNUAL MULTI-TRIP PREMIUMS FOR 2008 (per Policy in £)
Persons Single Couple: 2 Adults Europe Worldwide 105.00 129.00 147.00 189.00
Children (18 years or less) go free Single Trip limit: 70 days. No limit to the number of trips.
Payment Method
Please tick one of the following: Visa/Delta Debit Cards: Switch Solo Credit & Charge Cards: Visa Mastercard Cheque: My card number is:
There are a number of conditions applicable to the Annual Multi-Trip policy only as follows: · Age Limits the policy is only available to persons aged 65 years or less at the time of purchasing the insurance. · Travel in the UK is covered provided you have pre-booked accommodation of two consecutive nights. Medical cover is excluded. · Couples/children 1) Either adult or child can travel independently 2) the policy does apply to single parents; 3) A 'couple' is defined as any 2 adults, whether married or not, who have been in a permanent relationship for at least 6 months.
·Validity As policies are valid for a full calendar year premiums are not refundable should your tour be cancelled by Explore for any reason. If you do not specify a commencement date, we will automatically issue the policy from the date of payment. · Travel duration the maximum period for any one trip covered by the policy is 70 days. There is no limit to the number of trips in the year. This 70 day maximum period can not be extended. · Policy must be purchased in conjunction with an Explore holiday.
Card Expiry Date Card Verification Code (last 3 digits of number on reverse of card)
Switch Card Valid from date Switch Card Issue No.
Please charge to my Card, or find Cheque payable to Explore Worldwide Ltd. The sum of £__________________________________ Signed ____________________________________________
ANNUAL MULTI-TRIP COVER APPLICATION FORM
(Not required for Single Trip insurance) Details of the principal insured person
Last Name _________________________________________________ Mr/Mrs/Ms _____________First Name _________________________ Date of Birth _______________________________________________ (Not available to persons aged 66 years or over. See conditions above)) Address ___________________________________________________ __________________________________________________________ _______________________Postcode _____________________________ Phone no (home)____________________________________________ Phone no (work)_____________________Extn _____________ Fax/e-mail _________________________________________________ Commencement date of policy (dd/mm/yy)
Date______________________________________________ OFFICE USE ONLY: cheque received
Additional Persons (Spouse/Partner/Child)
Last Name ________________________________________________ Mr/Mrs/Ms _____________ First Name _________________________ Date of Birth ______________________________________________ (Not available to persons aged 66 years or over. See conditions above) Child Name ________________________________________________ Date of Birth ______________________________________________ Child Name ________________________________________________ Date of Birth _______________________________________________ Annual Insurance required: Europe Worldwide
Are you booked on a future Explore Tour? If so, please state Tour Ref/Date: Have you travelled with Explore before? Have you had an Explore Annual policy before? Yes Yes No No
Declaration
I declare that to the best of my knowledge and belief, the information given by me in this application is true and that all material facts are disclosed to the Underwriters on this form. I agree that this Application, together with the policy wording to be sent to me, will form the basis of the contract of insurance, subject to the money back guarantee detailed in the booking conditions. Signed ____________________________ Date ____________ (Signature of the Principal Insured Person on behalf of all persons named on this form)
book online: www.explore.co.uk
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