Air Ambulance

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First Name:
*
Name (Applicant) Gender Age
* * *
Last Name:
*
Name (Spouse/Companion) Gender Age
Telephone number:
--*
Name (Second Dependent) Gender Age
E-mail address:
*
Name (Third Dependent) Gender Age
Comments:
Name(Fourth Dependent) Gender Age


MT Los Cabos, S.C., representado por International Insurance Services, con domicilio en: Carretera Transpeninsular Km. 0.5 local 88, Colonia El Tezal, Cabo San Lucas, B.C.S. 23454, utilizará sus datos personales con la finalidad de permitir la intermediación de contratos de seguros, fianzas e inversiones, conforme a lo establecido en el Art. 19 de la LFPDPPP. Para conocer el tratamiento de sus datos personales puede acceder a nuestro Aviso de Privacidad en cualquier momento.

International Insurance Services on behalf of MT Los Cabos, S.C., with address at Carretera Transpeninsular K, 0.5 local 88, Colonia El Tezal, Cabo San Lucas, B.C.S. 23454, shall use your personal data with the purpose to allow the purchasing of insurance, fines and investments, based on the 19th article of the LFPDPPP (Law of Protection of Personal Data). To access to our Privacy Notice at any time.