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Make an appointment with your CONCORDIA agency
Reason for the appointment
Date of the appointment
Monday
Tuesday
Thursday
Personal information
Reason for the appointment
Date of the appointment
Monday
Tuesday
Thursday
Personal information
Reason for the appointment
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Date of the appointment
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Monday
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Tuesday
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Thursday
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Personal information
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Consultation - 1 hour
Change in the family - 1 hour
Address change / name change - ½ hour
Questions about the insurance cover - ½ hour
Questions about statements of benefits - ½ hour
Questions about invoices, reminders, etc. - ½ hour
Available dates
Monday, 03.04.2023
Tuesday, 04.04.2023
Thursday, 06.04.2023
Tuesday, 11.04.2023
Thursday, 13.04.2023
Monday, 17.04.2023
Tuesday, 18.04.2023
Thursday, 20.04.2023
Monday, 24.04.2023
Tuesday, 25.04.2023
Thursday, 27.04.2023
Time (½ hour)
8.30 - 9.00
9.30 - 10.00
10.30 - 11.00
11.30 - 12.00
Time (1 hour)
13.30 - 14.30
15.00 - 16.00
Other time
Time (½ hour)
8.30 - 9.00
9.30 - 10.00
10.30 - 11.00
Time (1 hour)
8.30 - 9.30
10.00 - 11.00
Other time
Time (½ hour)
8.30 - 9.00
9.30 - 10.00
10.30 - 11.00
Time (1 hour)
8.30 - 9.30
10.00 - 11.00
Other time
Where do you wish for the consultation to take place?
At home
At the CONCORDIA agency
Title
Mrs./Ms.
Mr.
First name
Last name
Street
Postcode
Town
How would you like to receive the confirmation of the appointment?
E-mail
Phone
E-mail
Phone
Current insurance provider
Message (optional)
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