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Group Business Travel Insurance Quote Request Form
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Contact Name
*
First
Last
Email
*
Phone No
*
Proposers' Name (if different from above)
*
Proposers' Correspondence Address and Postcode
Territories Visiting
— Select Choice —
UK & Europe
Middle East & Asia
North America / Canada
Rest of the World
How many members of staff are travelling
*
How many business trips are taken outside of the UK annually
*
members Postcode many
What is the average length of stay outside of the UK
*
— Select Choice —
1-4 days
5-7 days
8-14 days
Longer than 15 days
Provide details of the risk type of event(s), countries visiting, venues and dates (if known)
*
Have you ever made any claims against a medical or personal accident policy
*
YES
NO
Contact Consent
*
I consent to Lynx Insurance Brokers Ltd contacting me for the purposes of providing an insurance quotation.
Marketing Consent
I consent to Lynx Insurance Brokers Ltd contacting me with marketing updates and insurance product news via email and phone. You can unsubscribe by contacting us at anytime.
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