Germazin Air Ambulance

		Worldwide Medical Evacuation
		24-Hour Emergency Hotline
		Transport to Hospital of Choice
		Guaranteed Hospital Admission
		Medical Monitoring & Consultation
		Guaranteed Return of Spouse
		Foreign Language Translation
		Medical & Legal Referrals
		Medical Record Transfer
		Guaranteed Return of Spouse

Select Your Membership

Single ( 75 Euro/peryear)

Family ( 199 Euro/peryear)

Your Member Information

Payment Method

Credit Card Bank Transfer

First Name

Last Name

Social security or
Birthdate

Street

Number

Postcode

City

Country

Private phone

Work phone or
mobile

Direct Debit

I presently allow GERMAZIN (until revocation of this direct debit mandate) to debit the annual membership subscription costs from my bank account number.

IBAN

BANK

Membership Agreement

I agree that GERMAZIN may use my email address for administrative membership tasks or for GERMAZIN promotion usage. I can revoke this agreement at any time simply by sending an E-Mail to info@germazin.de.

Since all services are provided on a personal or technical basis and with existing equipment, GERMAZIN provides these services without any mandatory legal obligation.

All missions are achieved with regard to priority, medical, social and operational criteria. GERMAZIN also determines the manner and timeframe of the mission.