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Application for insurance covering costs of travel cancellation (without Insolvency clause)

Important:
By transferring the premium I acknowledge that I have read and understood the  Obligatory information disclosed in compliance with § 11 VersVermV, the Exclusive Brokerage Contract Exclusive Brokerage Contract and the obligatory information pursuant to § 1 VVG-Info.
Cancellation of travel costs insurance must be arranged no later than 14 day after the travel booking is made. If there are less than 30 days between the booking and the time of travel, the insurance must be arranged concurrently with the booking. The full scope of the agreement is based on the General Terms and Conditions for Cancellation of Travel Costs ABRV. In order to include insurance against insolvency of the travel agency/ charter operator please use this link.

Please choose your payment method:

Please simply Download remittance slip download the remittance slip , complete it and transfer payment

or

 Please send the remittance slip to me:

 
 
 

or

 
Sofortabschluss mit PayPal  Payment via PayPal account or credit card:

Please select Travel price/ Charter fee (in EURO) Premium
up to 1000,- 41,- EURO
over 1000,- up to 1500,- 59,- EURO
over 1500,- up to 2000,- 78,- EURO
over 2000,- up to 3000,- 115,- EURO
over 3000,- up to 4000,- 151,- EURO
over 4000,- up to 5000,- 186,- EURO
over 5000,- up to 6000,- 219,- EURO
over 6000,- up to 8000,- 286,- EURO
over 8000,- up to 10000,- 351,- EURO
Your online handling fee: Euro
Important: The full cost of travel must always be insured. Where the Charterer only insures the sum of EUR 1,000.00 but the cost of travel is EUR 1,050.00, the insurance will be null and void. The aforementioned premiums apply for up to 8 people. 9-12 persons can be insured on request for one sailing trip.

Charterer Information
 
Further particulars
(dd-mm-jjjj)
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Right of withdrawal
The customer is entitled to withdraw his/her contractual declaration within two weeks by means of written communication, e. g. letter, fax. e-mail etc. without the requirement of stating reasons for the withdrawal. The above-mentioned time period starts no earlier than the point in time at which this instruction is received. The period for withdrawing the contractual declaration is met where the notification of withdrawal is dispatched within the specified time.
The notification of withdrawal is to be sent to:
Hamburger-Yachtversicherung / Schomacker Versicherungsmakler GmbH
Katharinenhof/Zippelhaus 2
D-20457 Hamburg/Germany