Subscription - Volpack 2012

1. Calculate your insurance premium.

How were you informed of our site? .......Your Choice....... VERSPIEREN's mail Mouth to ear former customer Show/Meeting VOLEZ 's ad AERIAL's ad AIR CONTACT's ad VOL LIBRE's ad VOL MOTEUR's ad Other (specify) Country of residence of the insured : AFGHANISTAN AFRIQUE DU SUD ALBANIE ALGERIE ALLEMAGNE ANDORRE ANGOLA ANTILLES NEERL. ARABIE SAOUDITE ARGENTINE AUSTRALIE AUTRICHE AZERBAIJAN BAHAMAS BAHREIN BANGLADESH BARBADE BELGIQUE BELIZE BENIN BIRMANIE BOLIVIE BOSNIE HERZEGOVINE BOTSWANA BRESIL BRUNEI BULGARIE BURKINA FASO BURUNDI CAMBODGE CAMEROUN CANADA CAP VERT CENTRE AFRIQUE CHILI CHINE CHYPRE CITE DU VATICAN COLOMBIE COMORES CONGO COREE DU NORD COREE DU SUD COSTA RICA COTE D IVOIRE CROATIE CUBA DANEMARK DJIBOUTI EGYPTE EL SALVADOR EMIRAT ARAB UNI EQUATEUR ESPAGNE ESTONIE ETATS UNIS ETHIOPIE EX-U.R.S.S. EX-YOUGOSLAVIE FINLANDE FRANCE GABON GAMBIE GEORGIE GHANA GIBRALTAR GRDE BRETAGNE GRECE GUATEMALA GUINEE EQUATOR GUYANE GUYANE NEERLAND HAITI HAUTE VOLTA HONG-KONG HONGRIE ILE D AURIGNY ILE DE JERSEY ILE DE MAN ILE GUERNESEY ILE MAURICE ILES CAYMAN ILES FEROE ILES FIDJI ILES SEYCHELLES INDE INDONESIE IRAK IRAN IRLANDE ISLANDE ISRAEL ITALIE JAMAIQUE JAPON JORDANIE KAZAKSTAN KENYA KOWEIT LAOS LESOTHO LETTONIE LIBAN LIBERIA LIBYE LIECHTENSTEIN LITUANIE LUXEMBOURG MADAGASCAR MALAISIE MALAWI MALDIVES MALI MALTE MAROC MAURITANIE MEXIQUE MONACO MOZAMBIQUE NEPAL NICARAGUA NIGER NIGERIA NORVEGE NOUV CALEDONIE NVLLE ZELANDE OMAN OUGANDA OUZBEKISTAN PAKISTAN PANAMA PAPUA N. GUINEE PARAGUAY PAYS BAS PEROU PHILIPPINES POLOGNE POLYNESIE PORTUGAL QATAR REP DE COMORES REP DE GUINEE REP DEMO CONGO REP DOMINICAINE REP GUINEE BISS REP. MADAGASCAR REP. POP. BENIN REP. ST MARIN REP. TCHEQUE ROUMANIE RUANDA RUSSIE SENEGAL SERBIE MONTENEGRO SIERRA-LEONE SINGAPOUR SLOVAKIA SLOVENIE SOMALIE SOUDAN SRI LANKA SUEDE SUISSE SWAZILAND SYRIE TAIWAN TANZANIE TCHAD THAILANDE TOGO TRINITE TOBAGO TUNISIE TURQUIE UKRAINE URUGUAY VANUATU VENEZUELA VIET-NAM YEMEN ZAIRE ZAMBIE ZIMBABWE Is the insured the policy holder? Yes   No Are you member of a club? Yes   No If you have a club reference code, please enter it here:   Activity and situation Civil Liability Insurance Pilot and/or Individuelle Accident Accident for pilot/pupil You can choose 4 sports : Which is your status in the sport practised? (Only the higest premium will be taken into account if your choose multiple activites) Paraglider: .............Your Parapente statute........... pupil Single-seat pilot Two-seater pilot Instructor Professional pilot two-seater or instructor Training single-seat pilot Training two seater pilot Hang-glider: ................Your Delta statute............... pupil Single-seat pilot Two-seater pilot Instructor Professional pilot two-seater or instructor Training single-seat pilot Training two seater pilot Pulma : .................Your Pulma statute............. pupil Single-seat pilot Two-seater pilot Instructor Professional pilot two-seater or instructor Training single-seat pilot Training two seater pilot Motorised Paraglider: .............Your Paramotor statute............ pupil Single-seat pilot Two-seater pilot Instructor Professional pilot two-seater or instructor Training single-seat pilot Training two seater pilot Option Kite surf : This activity is insurable only when it is complimentary of an other activity. Civil Liability Insurance ULM and/or Individual Liability Accident for pilot/pupils You can choose only one type of craft: Which is your status in the sport practised? (Only the higest premium will be taken into account if your choose multiple activites) Multiaxis : .............Your Multiaxis statute.............. Pupil Single-seat 1 pilot Single-seat all pilots Two-seater 1 pilot Two-seater all pilots Instructor 1 pilot Instructor all pilots Pro 1 pilot Pro all pilots Training single-seat Training two seater Pendular : ...............Your Pendular statute............ Pupil Single-seat 1 pilot Single-seat all pilots Two-seater 1 pilot Two-seater all pilots Instructor 1 pilot Instructor all pilots Pro 1 pilot Pro all pilots Training single-seat Training two seater Airship (ULM) : ...............Your Airship statute............... Pupil Single-seat 1 pilot Single-seat all pilots Two-seater 1 pilot Two-seater all pilots Instructor 1 pilot Instructor all pilots Pro 1 pilot Pro all pilots Training single-seat Training two seater Autogiro : ..............Your Autogiro statute............. Pupil Single-seat 1 pilot Single-seat all pilots Two-seater 1 pilot Two-seater all pilots Instructor 1 pilot Instructor all pilots Pro 1 pilot Pro all pilots Training single-seat Training two seater Sailplane : .............Your Sailplane statute............. Pupil Single-seat 1 pilot Single-seat all pilots Two-seater 1 pilot Two-seater all pilots Instructor 1 pilot Instructor all pilots Pro 1 pilot Pro all pilots Training single-seat Training two seater Start Date From when do wish you to be assured ?