Third Party Liability Insurance Parachutes/Hang Gliders ... Party Liability insurance for parachutes, non-motorised hang gliders and paragliders, valid worldwide (except USA), ... Hang Glider ! Parachute

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  • AXA Versicherung AG Versicherungsagentur fr Flugsport 6345 Kssen, Austria, Dorf 2, Telefon: +43-(0)5375-5314, Fax: 2160 Contact: Hedi Plangger, +43-(0)676-5112825, email: axa@fly-koessen.at

    Third Party Liability Insurance Parachutes/Hang Gliders/Paragliders

    (non-motorised, inclusive emergency rescue costs) Application according current General and special AXA-insurance Regulations

    Insurance sums: Third Party Liability insurance for parachutes, non-motorised hang gliders and paragliders, valid worldwide (except USA), competition risks included

    1.500.000,--

    (at least) SDR 750.000,-- loss liability (without prior damage to property) 12.000,-- Emergency rescue costs resulting from accidents with the glider insured (personal rescue only) (please choose your option below)

    2.600,-- or 10.000,--

    ! Option with 2.600,-- insurance sum for emergency rescue costs Annual Premium (inclusive insurance tax) 70,-- Annual Premium for members of a NAC (inclusive insurance tax) 60,--

    ! Option with 10.000,-- insurance sum for emergency rescue costs Annual Premium (inclusive insurance tax) 90,-- Annual Premium for members of a NAC (inclusive insurance tax) 80,-- Policy Holder Title, first name

    surname

    Address

    post code, city, country

    nationality

    date of birth e-Mail-address

    telephone - office telephone private fax

    profession

    ! I am member of following NAC:

    membership number:

    Insured Glider (only solo gliders, no tandem) ! Paraglider ! Hang Glider ! Parachute Three gliders for personal use only may be on one policy. Only one glider at the time may be used. Type year of manufacture Serial number

    Start of Cover: day/month/year

    / / insurance period:

    1 year Payment of premium: yearly by bank transfer

    V 04/2014

    Place / Date

    Signature

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