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| Your name | |
| E-mail address | |
| Address line 1 | |
| Address line 2 | |
| City | |
| State/County | |
| Country | |
| Post code | |
| Age | |
| Telephone No. | |
| Policy Type | |
| Travel Details - single | Departure Date : Return home winter sports? |
| Travel Details - annual | Max days / trip total days winter sports Winter sports |
| You | Age : Medical Conditions Activities |
| Partner | Age : Medical Conditions Activities |
| Child | Age : Medical Conditions Activities: |
| Child | Age : Medical Conditions Activities: |
| Child | Age : Medical Conditions Activities: |
| Child | Age : Medical Conditions Activities: |
| Countries Visiting | |
| Excess | What is the preferred policy excess? |
| Cancellation cover | What cancellation cover do you need? (per person) |
| Medical expenses | What medical expenses cover is needed? |
| We offer a fair market analysis and will provide you with a quote matching your selected options if possible or explain why we cannot do so. | |
| Even if you have read and accepted the declaration, you must still provide us with full details of medical conditions and names/ dosages of all medicines taken and other treatment undertaken. | |
| Details of all material facts about your holiday including info on medical conditions, hazardous activities, whether any work involved and if so what type. Also medical conditions of close relatives. | |
| Any other demands and needs? | |
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B Portwood & Company Insurance Home Page
- an overview of the site and types of policy on offer.
Travel insurance and holiday insurance - annual
family holiday, multi trip, student GAP year insurance, winter sports, ski-ing
If you are over 65 and need travel insurance look at our over 65 travel insurance page
If you want cheap travel insurance look at our cheap travel insurance page
You find it better if you contact us on 0870 0345503 or, if you get no reply, our Gateshead office on 0870 0345502. We find it is often better and easier to discuss on the phone your needs for travel insurance