Registration insurance |
| I would like to register for the theft and fire insurance. I agree to the monthly service charge increase of € 1,20 or € 2,40 when it concerns a combi-home or an AIO-apartment. | |||
| Name: | |||
| E-mail adress: | |||
| Adress: | |||
| Number: (corridor + roomnumber:) | |||
| Commencement date: | as soon as possible | ||
| on: | |||
| Comments: (please notify if it's a combi-home or appartement in connection with the double insurance) | |||