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Step 1 - Start your Quote


Residency
Please tick to confirm that you are resident in the United Kingdom (including Channel Isles and Isle of Man)

Have you or anyone in your party, or anyone on whose state of health your holiday plans depend (Please select Y or N for all questions):

1) Taken any prescribed medication or received medical treatment within the last 2 years?  Y  N

2) Been a registered in or out patient in the last two years?  Y  N

3) Been placed on a waiting list currently for investigations or treatment?  Y  N

4) Been diagnosed by a doctor or consultant as suffering from a terminal illness?  Y  N

If so, how long is the terminal prognosis from the date of return from your trip? (in months)   



If you are happy to proceed on the conditions listed above please tick this box




FSA

Unique is a trading name of Heath Lambert Limited (authorised and regulated by Financial Services Authority), Registered Office: 133 Houndsditch London EC3A 7AH United Kingdom. Registered No: 1199129 England and Wales. Calls may be recorded for training and security purposes.