A referral that is worth it

Calculation example: In the event of the successful referral of a family of four, you would receive CHF 50/person.

Upon conclusion of a standard package with basic insurance plus a supplementary insurance.

Refer us to your friends and simply sharing joy

My address

0% Complete
Your referral

0% Complete
Further referrals

0% Complete

Metadata

User Id

Form Uuid

Language

Webmail2Id

mailTo

Bcc

formType

resourceDownloadUrl

onServer

Title

Mrs./Ms.

Mr.

Last name

First name

Street, n°

Postcode

Town

Insurance number

Your message

Date of birth

Please contact me by

phone

e-mail

mail

Bitte vergessen Sie Ihre Kontaktangaben nicht, damit wir Ihre Anfrage bearbeiten können.

Phone

E-mail

I agree to inform the person accordingly.

Title

Mr.

Mrs./Ms.

Family

Last name

First name

Street, n°

Postcode

Town

Date of birth

Phone

E-mail

Number of persons in the household

Your CONCORDIA agency

Further referrals?

Yes

If you refer a family, it is sufficient to specify one name.

I agree to inform the person accordingly.

Title

Mr.

Mrs./Ms.

Family

Last name

First name

Street, n°

Postcode

Town

Date of birth

Phone

E-mail

Number of persons in the household

Your CONCORDIA agency

Clients recruit clients

Refer us to your friends and simply sharing joy

Metadata