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INSURANCE: Travel Protection Plan
Premiums per person (includes Insurance Premium
Tax at 17.5%)
|
Duration (days) |
UK |
Europe |
Worldwide |
|
1 – 5 |
£16 |
£21 |
£32 |
|
6 – 10 |
£21 |
£27 |
£49 |
|
11 – 17 |
£25 |
£31 |
£59 |
|
18 – 24 |
£28 |
£33 |
£64 |
|
25 – 31 |
£33 |
£37 |
£75 |
|
extra week |
£9 |
£114 |
£23 |
|
Children 2–16 years |
50% if with insured adult |
|
Infant 0–2 years |
Free if with insured parent |
|
Family |
Double + £3 per child |
|
66 -69 years |
x 150% not area 3 |
|
70 - 75 years |
x 200% not Area 3 |
|
Dangerous activities (see below) |
Category A x 125%
Category B x 150%
Category C x 200% |
| Skiing |
Double
– see separate policy |
|
Europe is west of Urals and/or bordering
Mediterranean.
Worldwide includes North America |
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Dangerous activities include but are
not limited to: racing, motor rallies, mountaineering, high
trekking, air sports, potholing, underwater activities. Please
check if in doubt. |
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ANNUAL MULTI-TRIP POLICY
Adult £155 Family
£210
No single trip of more than 31 days. Winter
sports 21 days. |
This policy also insures your payment against
operator failure.
APPLICATION FORM
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Names |
Under
16 |
Over
65 |
Age |
Premium |
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1. |
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2. |
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3. |
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4. |
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Total Premium
(Cheques payable to Footloose Travel Trust) |
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Address [in BLOCK CAPITALS] of lead name:
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| Telephone |
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Period of insurance in days |
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Date of departure |
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| Zone |
UK
Europe Worldwide |
| Special
cover |
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| Family |
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It
is acknowledged and agreed that: |
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1. |
the trip or journey for which
insurance is effected is not booked or commenced by any insured
person:
(a) contrary to medical advice
(b) to obtain medical treatment
(c) after a terminal prognosis has been made
(d) who is receiving or awaiting in-patient treatment. |
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2. |
no
insured person is aware of any reason why travel may be cancelled
or curtailed. |
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3. |
no insured person is more than 65 years old
unless the extra premium has been paid. |
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