Family Membership

The ideal protection for your family. Parents with children up to the age of of 25 living in the same household or returning to the same household on weekends on a regular basis as well as livestock are included in this package. Our family membership offers you security where your compulsory accident and health insurance can no longer cover it.

Family: CHF 80.00

Personal Data

Title

PrenameMandatory field

SurnameMandatory field

First name of the partner

Surname of the partner

Street addressMandatory field

Postal codeMandatory field

CityMandatory field

CountryMandatory field

Telephone including area Code (+41)Mandatory field

E-mailMandatory field

Date of birthMandatory field

Partner's date of birth

Number of children

For each child, the name must be recorded (child 1)

For each child, the date of birth must be recorded (child 1)

For each child the name must be recorded (child 2)

For each child, the date of birth must be recorded (child 2)

For each child the name must be recorded (child 3)

For each child, the date of birth must be recorded (child 3)

For each child the name must be recorded (child 4)

For each child, the date of birth must be recorded (child 4)

Livestock Mandatory field

How did you hear about us

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Remarks

I have health insuranceMandatory field

I have read, understood and accept the GTC.Mandatory field

I have read and accepted the privacy declaration.Mandatory field

Name

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Family Membership

Personal Data

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