Applicant (policyholder)
Title *
Mr.
Ms.
Applicant = Insured person
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Payment methods
Insured person
Title *
Mr.
Ms.
Period of insurance
Period of insurance
8 days
15 days
31 days
45 days
62 days
92 days
183 days
Insurance tariff
MAWISTA Visum Comfort
Country of origin (last domicile)
The country of the permanent or usual place of residence prior to start of the temporary foreign residence.
Germany
another country (please state which)
Payment method
by SEPA direct debit
by credit card
Declaration of agreement
I have read and hereby accept the
Consumer and Product Information Sheet and the Terms and Conditions of Insurance
.
I consent to MAWISTA GmbH sending me information and offers on other products for advertising purposes by email. I can object to the
use of my data
for advertising purposes at any time, for example by email to
info@mawista.com
Yes, I sufficiently informed myself about the product and I would like to continue without further consultation.
We are legally obligated to inform you that waiving the right to consultation may adversely affect the ability to assert a claim against us due to a breach of obligation of consultation.
I would like a consultation.
We would be happy to advise you by phone: +49 7024 469 51-0