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Alte Gasse 14 - 72124 Pliezhausen
+49 7127-972420
info@axelneumann.de
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Quotation Request
Contact
Adress & Webmail
Imprint
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Disclaimer
Quotation Request
Please fill in this quetionnaire which will enable us to provide best quotes available on the market. Fields with * are compulsory, otherwise we cannot work on the enquiry. Thank you for your assistance!
Please note that your details will be passed on to our partner PETER H BRAASCH Luftfahrt-Versicherungsmakler, where they will be used exclusively to obtain and prepare an offer tailored to your individual needs. The data will of course be treated in strict confidence.
Please complete the following data:
First Name
*
Last Name
*
Company
Street
*
Zip
*
City
*
Country
*
E-Mail
*
Phone
*
Information about aircraft:
Aircraft
*
Registration
*
Serial No.
*
Year of manufacture
*
MTOM
*
Seats
*
Situation
*
Europe incl. LSW617H excl.l. Ukraine, Russia, Crimea and Belarus
World Wide incl. LSW617H excl. USA/Canada, Ukraine, Russia, Crimea and Belarus
Other
Home Base
*
Use
*
Value
*
Pilots
Name
*
License
*
Total Time
*
Time on Type
*
Day of Birth
Claims
*
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Privacy Policy
Yes, I agree that my data from the questionnaire will be collected and processed in order to work out a proposal. After your request has been processed, the data will be deleted or transferred to the contract data. Note: You can revoke your consent at any time by e-mail to
info[at]phbraasch[dot]de
. Detailed information on the handling of user data can be found in our data protection declaration
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