S.A.R.L. Bacchus… Immobilier & Insurance

La Millière Chapitre, 998 Route de la Renorville Internet: www.bacchus-insurance.com
16130 ANGEAC CHAMPAGNE, France Email: insure@bacchus-insurance.com
Tél: +33 (0)5 45 82 42 93         Fax: +33 (0)5 45 36 27 95

Approved Insurance & Finance Brokers Agents

Insurance Requirement Form

   PLEASE COMPLETE THE FOLLOWING: Questions with a * are obligatory.


   Name: *       
   Address:     
   Email: *     
   Tel:(home)*  	   Fax:    
   Tel:(work)   	   Mobile: 

   INSURANCE CATEGORY:
    Home insurance (Buildings; Contents; Public Liability)
    Car insurance - UK reg. vehicles
    Car insurance - French reg. vehicles
    Caravan insurance
    Boat insurance
    Travel insurance (Europe)
    Travel insurance (Worldwide)
    Health insurance (Private health plan)
    Health insurance (top-up scheme to French social security system)
    Life assurance (Fixed Term ; Full Life)
    Domestic Pet insurance (Dogs and Cats)
    Mortgage Finance (to purchase and/or renovate property in France)
    Financial Services (retirement planning and investment)
   How did you hear about us ?
      or     

Thank you for completing our Insurance Enquiry Form.

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To send us your Property Search Requirements, go to: Bacchus French Property
To send us your Finance Requirements, go to: Bacchus Finance
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This entire website and the images are Copyright © Ivan Tredinnick 1998
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