completesummary Antragsstrecke 5 PET

Summary and Confirmation

100%

Your Dog Liability Insurance

Selected Plan:

Your sum insured:

Insurance Start Date:

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:

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.