Mondassur : Devis gratuit pour votre assurance santé voyage (2)

First Step: Pricing
You
Name	First name	Date of birth			Email	Telephone	Student	In possession of the European Health Insurance Card *	Family Fare	Purpose
		day	month	year

Others to ensure
Name	First name	Date of birth			Student	In possession of the European Health Insurance Card *	Purpose **
		day	month	year
1)
2)
3)
4)
5)
Coverage Period
From To
Country of origin				Country of destination

If you travel as a tourist for a trip of less than 60 days and know the amount of your trip (including the price of your tour or a combination of your airfare, hotels, rental cars or other reservations known to date), please specify: :						Travel Price (optional) : Euros
Partner code (optional) : partenai
* European Health Insurance Card (EHIC) which certifies the right of EU nationals to health insurance under local law for a temporary stay. ** Student = stay overseas for education or training.

MONDASSUR - 84, rue du Dôme - 92100 Boulogne
Tél +33 (0)1 80 87 57 80 | Fax +33 (0)1 80 87 57 87 Email contact@mondassur.com

SARL au capital de 20.000 euros - No Siret 484 572 342 00018 - No ORIAS: 07034691 www.orias.fr

Sous le controcirc;le de l'Autorité de Controcirc;le des Assurances et des Mutuelles www.ccamip.fr

Garantie financière et assurance de responsabilité civile professionnelle conformes au Code des Assurances