Annual Travel Contract Annual Travel*Individual EuropeIndividual WorldFamily EuropeFamily WorldNumber of Insured*Please enter a number from 1 to 9.Remember that in the family modality are covered the main traveler, their spouse or common-law partner and all children up to 18 years of age (included) who have not turned 19 on the effective date of the insurance and who live in the family home.Start of coverage* Date Format: DD dash MM dash YYYY DD-MM-YYYYPricePrice Name* First Last Identification Document*- Please selectPassportNIEDNIDocument Number*Date of Birth*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Please attach your passport or NIE*Accepted file types: jpg, jpeg, gif, png, pdf.Please attach a scan or good quality photo of the documentAddress* Street Address City Province Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Only residents of Spain will be coveredPhone*Email* Companion 1Name* First Last Identification Document*- Please selectPassportNIEDNIDocument Number*Date of Birth*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Please attach passport or NIE*Accepted file types: jpg, jpeg, gif, png, pdf.Please attach a scan or good quality photo of the documentCompanion 2Name* First Last Identification Document*- Please selectPassportNIEDNIDocument Number*Date of Birth*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Please attach passport or NIE*Accepted file types: jpg, jpeg, gif, png, pdf.Please attach a scan or good quality photo of the documentCompanion 3Name* First Last Identification Document*- Please selectpasaporteNIEDNIDocument Number*Date of Birth*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Please attach passport or NIE*Accepted file types: jpg, jpeg, gif, png, pdf.Please attach a scan or good quality photo of the documentCompanion 4Name* First Last Identification Document*- Please selectpasaporteNIEDNIDocument Number*Date of Birth*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Please attach passport or NIE*Accepted file types: jpg, jpeg, gif, png, pdf.Please attach a scan or good quality photo of the documentCompanion 5Name* First Last Identification Document*- Please selectPassportNIEDNIDocument Number*Date of Birth*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Please attach passport or NIE*Accepted file types: jpg, jpeg, gif, png, pdf.Please attach a scan or good quality photo of the documentCompanion 6Name* First Last Identification Document*- Please selectPassportNIEDNIDocument Number*Date of Birth*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Please attach passport or NIE*Accepted file types: jpg, jpeg, gif, png, pdf.Please attach a scan or good quality photo of the documentCompanion 7Name* First Last Identification Document*- Please selectPassportNIEDNIDocument Number*Date of Birth*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Please attach passport or NIE*Accepted file types: jpg, jpeg, gif, png, pdf.Please attach a scan or good quality photo of the documentCompanion 8Name* First Last Identification Document*- Please selectpasaporteNIEDNIDocument Number*Date of Birth*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Please attach passport or NIE*Accepted file types: jpg, jpeg, gif, png, pdf.Please attach a scan or good quality photo of the document Purchase Conditions* I have read and accept the privacy policy.PERSONAL DATA PROTECTION POLICY (REGULATION OF THE EUROPEAN UNION 2016/679) 1. Who is responsible for the processing of your data. GIDEA GESTION INTEGRAL PRODUCTO GRAN CONSUMO, S.L. with CIF 898925209, and address in Calle Peaña 3-3, CP 46022, Valencia Contact phone: 615818776 Email: info@gideagestion.com 2. Purpose of the processing of Personal data. The personal data provided by the client will be processed by this company in order to achieve a correct professional and commercial management, adequate communication, as well as its corresponding administrative management. The personal data provided will be kept as long as the professional or commercial relationship is in force, or as long as its deletion is not requested by the client, and in any case, for a period of six years from the last contact. 3. What is the legitimacy for the processing of your data? The legitimacy for the processing of the data comes from the voluntary consent given by the client through the accession document, and when the explicit or implicit contractual relationship between both parties is established. 4. To which recipients will your data be communicated? As a general rule, the personal data processed will not be transferred to third parties, except in cases where it is required by law. In the case of insurance contracting, they will be transferred to Mesag Seguros S.L., as a brokerage company; and to Servicios Colectivos de Bajo Coste, S.L., Coasf 2018, S.L., and Consulting low Cost 2016 Service, S.L., in the case of collective insurance. They may also be assigned in cases of prevention of a real danger, punishment of criminal offenses or for a specific investigation (for example at the request of the Police). For other purposes they can only be assigned, if the client or user has been previously informed. In these special transfers, the processing of the data will be limited exclusively to the purposes for which they were transferred. 5. What are your rights when you provide us with your data? Anyone has the right to obtain confirmation about whether GIDEA GESTION INTEGRAL PRODUCTO GRAN CONSUMO, S.L. is treating personal data that concerns them, or not. Interested persons have the right to access their personal data, as well as to request the rectification of inaccurate data or, where appropriate, request its deletion when, among other reasons, data that is no longer necessary for the purposes that were collected. In certain circumstances, the interested parties may request the limitation of the processing of their data, in which case we will only keep them for the exercise or defense of claims. In certain circumstances, interested parties may object to the processing of their data. In these cases, we will stop processing the data, except for legitimate, compelling reasons, or before the exercise or defense of possible claims. 6. Communications. As a general rule, we do not carry out promotional communications or periodical advertising. In case of receiving any, the right to revoke consent will always be provided. Signature*Please sign using the mouse, touchpad or your finger on mobile device.Purchase InformationPayment Method: Wire TransferTOTALUnique ID