Sickness and Hospitalisation Application

Mr
Mrs
Miss
Ms

Address Line 1

Address Line 2

City / Town

Post Code

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General Data Protection Regulation – Consent for Use of Personal Data

The Transport Friendly Society Limited (the Society) collects your personal information when you apply for a product with us. The information disclosed by you in this application will be used by the Society to set up and manage the product you have applied for. The Society will not share your data with any third parties for any purposes subject to its legal or statutory obligations. If you would like more information on how the Society uses your personal information, please see our Privacy Notice which you will find on our website.

The Society may wish to contact you in the future with marketing information relating to its other products and services that may be of interest to you. However, the Society will only do this if you are happy to receive such information. Once we have updated your marketing preferences they will remain in place until you let us know otherwise. You can update the Society at any time, opting in or out of marketing, or change the ways in which you would prefer the Society to contact you.

You can update your marketing preferences by contacting the Society by phone on 020 7833 2616 or via email on info@tfs.uk.com.

If you wish to hear about such products please tick the boxes below. If you do not wish to be added to our marketing list, just leave the tick boxes below empty.

I am happy to be contacted and prefer to be contacted by:

Email
Post

Declaration

I declare to the best of my knowledge and belief that the above statements are true and complete and that I am now in good health.

I understand that this application shall form the basis of the contract between me and the Society and that failure to disclose any facts which may be regarded as material (i.e. facts likely to influence the acceptance of this proposal) may cause the insurance to be declared void.

I understand that pre-existing medical conditions will not be covered in the first 12 months of the Plan.

I understand that no sickness benefit is payable for the first 7 days of sickness.

I understand that the contract will not start until this application has been accepted and the first contribution paid.

I understand that no sickness benefit is payable for any sickness that starts in the first 13 weeks after my Plan’s start date.

I declare that No advice has been given to me by the Society.

I agree to abide by the rules of the Society.

Sickness and Hospitalisation Plan Application

Sickness Plan

Weekly Premium

Monthly Premium

Optional Hospital Add-On Cover

Weekly Premium

Monthly Premium