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Individual Quote / Contact Form
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Please use this form to send to receive an individual insurance quote or to send us a message. Please complete all fields and give as much details as possible. We will NOT use your details to send spam messages or advertisement.
Male / Female
Your email address
Please briefly explain your current living situation and your citizenship
Do you already live in Austria? If yes, how long? If no, when will you be moving to Austria?
In what region of Austria do you live / will you be living?
Will you be working in Austria? If yes, what is your profession?
Insured persons: Please state names and dates of birth
Do you have / Will you have public health insurance in Austria?
I do not know
What kind of insurance cover are you looking for?
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