Formulaire RIS

Welcome to your new home!

I would like to be contacted by the agency Penning, Biermann et Associés to receive one month’s free coverage.

* Mandatory fields

Informations me concernant

Civility*

Last name*

First name*

E-mail*

Date of birth (dd.mm.yyyy)*

Telephone number*

Adresse du bien loué

Zip code*

City*

Number

Street name*

I have been living in Luxembourg for less than a year or I’m moving there soon.

By requesting our services, you are informed that Foyer Group (Foyer Assurances, Foyer Global Health S.A., Foyer Vie, Foyer Arag, Raiffeisen Vie, Foyer Distribution) is authorised to contact you for pre-contractual purposes.

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