Seico Insurance Consultants

Thank you for using the weddings abroad insurance quotation form. Please complete and press submit, or print and post to the following address:
Seico Insurance Consultants, Seico House, 13 Blatchington Road, Hove, East Sussex BN3 3YP

Please forward cheque for the full premium made payable to ‘Seico Insurance Ltd’ or phone us on 01273 778888 with your credit card details.

Personal Details:

Name of Proposer:

Address of Proposer:

Town/City:

County:

Country:

Post Code:

Daytime Telephone:

Mobile Phone:

E-mail Address:

Name of Bride:

Date of Birth of Bride:

Name of Groom:

Date of Birth of Groom:

Wedding Date :

Departure Date :

Return Date :

Country of Travel:

Total Duration :

days

Ceremony Venue :

Reception Venue :

Hotel Address :

Level of cover selected - view premiums

Policy Type	Europe	Worldwide (ex USA/Canada)	Worldwide (inc USA/Canada)
Bronze £6000
Silver £10000
Gold £14000
Platinum £20000

I confirm that the above information is correct to the best of my knowledge

Date

Terms and Conditions
1. Seico is not a insurance broker. Please note that Seico accepts no responsibility nor liability for any loss, accidents or liabilities incurred by visitors in the use of this site.

2. We will occasionally make our files available to companies whose products we feel may be of interest to you. If you do not wish to receive such mailings please uncheck the box.

Territorial Limits
(1) Europe
- United Kingdon
- Channel Islands
- Isle of Man
- Europe

(2) Worldwide
Ex USA/Canada

(3) Worldwide
Inc USA/Canada