Snowcard partners Ellis Brigham are offering a 10% discount to all Snowcard customers purchasing insurance online

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Snowcard Expedition Questionaire

Please fill the questionaire and submit it to us and we will get back to you as soon as we can.

Name:

Address 1:

Address 2:

City/Town:

County:

Postcode:

Email:

Travel Dates: From -

To -

Destination:

Cover option:

A		Option A cover is for medical, rescue, repatriation and liability only.
B		Option B cover is as option A plus your personal effects. Use this option if you are an independent traveller and do not need to cover cancellation / travel delay etc.
C		Option C cover is as option A plus cancellation. Use this option if your home insurance covers your personal belongings but you need to cover cancellation etc.
D		Option D is full cover. Use this option if you need full cover under all sections of the policy.

Expedition Objectives (including relevant heights / depths / distances etc):

Individual expedition cost (£):

Your personal experience / qualifications:

Number of other team members and summary of their relevant experience:

Organisation and travel details:

Emergency backup / rescue provisions:

Any comments or any other relevant information which may influence our acceptance of the risk:

Please note that all fields marked with '*' are required fields.

Snowcard Insurance Services Limited
Registered office address: Lower Boddington, Daventry, Northants NN11 6XZ
Registered in England and Wales. Registration number: 2491373

t: 01327 262805, e: