Helicopter with no blades Helicopter Blades

EMERGENCY SERVICE 24H/24 !

Modify your membership

Life means change. If you wish to modify details of your membership please let us know

Since joining LAR have you changed your marital status (married, separated, divorced)?
Did you give birth to a child?
Did you move? Did you change your bank details?

 

If yes to one of the above mentioned, please fill in the following form!

Child 1

Child 2

Child 3

Child 4

Details of the beneficiary

Your debit authorisation is only valid with your signature. We will therefore sent you a form via mail in order to confirm your bank details. You will need to return the form signed. Thank you.

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