Items in Bold
are required
Destination :
(Select Region) Australia and New Zealand Europe includes Turkey, Egypt, Tunisia and Morocco UK/Channel Islands/Northern Ireland Worldwide excluding USA/Canada Worldwide including USA/Canada Click
here for further details on destinations
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-YYYY- 2010
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(tick box if an annual policy)
To :
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-MM- January
February
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September
October
November
December
-YYYY- 2010
2011
2012
2013
2014
Number
of people on policy
If you are travelling as a
couple/family or a single parent please tick the boxes below
Couple/Family
(only applicable on annual policies)
Single Parent
(only applicable on annual policies)
Please Note: Children
not accompanied by their parents are treated as adults
*Children under 18 travel free
if accompanied by a Floyd's Direct insured adult family member.
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tell us how you found out about Floyds Direct
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from:
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