| Items in Bold
are required |
| Destination: |
Click
here for further details on destinations |
| From: |
|
| |
(tick box if an annual policy) |
| To: |
|
 |
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. |
|
Please
tell us how you found out about Floyds Direct |
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from: |
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