Fillable ARK CRYO INSURANCE OPTIONS

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ARK CRYO INSURANCE OPTIONS

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We understand that for parents, this provides additional peace of mind, extra protection
and a financial safety net during your IVF journey. Currently, we are oering 3 levels of
insurance coverage for your samples:
ARK CRYO INSURANCE OPTIONS
DESCRIPTION COST, EUR
LEVEL 1 135,00
Coverage 10,000 € / 100 € deductible
LEVEL 2 190,00
Coverage 25,000 € / 200 € deductible
LEVEL 3 285,00
Coverage 50,000 € / 400 € deductible
CLIENT NAME CLIENT NAME
DATE
SIGNATURE SIGNATURE
DATE
ARK CRYO CANNOT BE HELD RESPONSIBLE FOR ANY LOSS, DAMAGE OR DELAY TO THE HUMAN BIOLOGICAL
MATERIAL. CLIENTS HAVE THE RIGHT TO PURCHASE INSURANCE COVERAGE INDEPENDENTLY. ARK CRYO OR
INSURANCE CARRIER CANNOT VERIFY, NOR GUARANTEE THE VIABILITY OF THE SAMPLE(S) BEING SHIPPED.
BY SIGNING THIS PROPOSAL MEANS ACCEPTANCE OF OUR TERMS AND CONDITIONS WRITTEN IN THIS
APPLICATION AND OUR SERVICE AGREEMENT
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ARK CRYO INSURANCE OPTIONS

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Completed 17 February 2022

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