QUOTATION REQUEST LAA MEMBER INSURANCE
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APPLICANT/ INSURED
"*" indicates that answer is compulsory.
*1.
POLICYHOLDER (aircraft owner and/or operator)
First names* :
Surname* :
Post code* :
Date of birth* :
Email* :
2.
Phone :
3.
PLEASE INDICATE YOUR LAA MEMBERSHIP NUMBER :
(the quotation you will be offered is subject to LAA memberships. If you are not a member yet, you would have to join the LAA prior to policy inception to benefit from the LAA Member exclusive offer).
4.
Are you a Politically Exposed Person (PEP) ?
(A politically exposed person (PEP) is an individual with a high profile political role, or who has been entrusted with a prominent public function)
YES
NO
*5.
ARE YOU A MEMBER OF A SYNDICATE OF AIRCRAFT OWNERS ?
YES
NO
If YES, what is your role ?
co-owner
pilot
*6.
HOW MANY AIRCRAFT DO YOU OWN ?
I own one aircraft
I own several aircraft
None, I am just a pilot and I would like to be covered when I fly
None, I am just a passenger and I would like to be covered when I fly
I am in the process of building or refurbishing an aircraft
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