Membership small Family

The ideal protection for small families. Are you a single parent with children up to the age of 25 living in the same household or returning to the same household on weekends on a regular basis? If yes, our small family membership offers you security where your compulsory accident and health insurance can no longer cover it.

Small family: CHF 45.00

Personal Data

Title

PrenameMandatory field

SurnameMandatory field

Street addressMandatory field

Postal codeMandatory field

CityMandatory field

CountryMandatory field

Telephone including area code (+41)Mandatory field

E-mailMandatory field

Date of birthMandatory field

Number of childrenMandatory field

The name must be recorded for each child (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)

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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Membership small Family

Personal Data

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