Dog Insurance Summary

Summary and Confirmation

Personal information

Insurance details

Summary

Personal Information

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Insurance Details and Payment

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Summary

Dog Liability Insurance

Insurance provider: Adcuri

Plan

Sum insured

Best benefit guarantee

Number of dogs

Personal information

First Name:

Last Name:

Birthdate:

Email:

City:

Postal Code:

Street:

House Number:

German address:

Not available

Gender:

Liability Claims:

Dog information

Payment information

IBAN:

BIC:

Bank Name:

Payment Frequency:

Insurance start date:

I confirm that I have received and reviewed the insurance conditions, the General information + data protection, the Notice in accordance with §19, paragraph 5 VVG, the Consent to Email contact and the Important notes. By providing the payment details and confirming the payment, you authorise Barmenia (parent company of Adcuri) and its local service provider to collect payments from your account by direct debit. At the same time, you instruct your bank to debit your account accordingly in accordance with these instructions. I confirm that my dog is not a restricted breed as listed here.

Please confirm that you have read the offer documents and agree with their content.

Personal information

Dog information

Payment information

Different Account Holder