Family insurance form

Please find the health coverage offers described below.

Please read the conditions of the offer carefully before completing a subscription request below.

YOUR MEANS OF PAYMENT

Please make your payment before submitting the form. THANKS.

 Please make a payment using one of the methods below, then you may attach your receipt to this form before submission. Many thanks.

  1. WORLD REMIT (FAO la Trésorière Dr Vanessa Kouatchouang, Douala, Cameroun).
  2. ORANGE MONEY (+237 693 710 856)
  3. MTN MONEY (+237 671 242 660)
  4. PAYPAL (coming soon)
  5. CARD PAYMENT (coming soon)
FORMULAIRE (FAMILLE) DE SOUSCRIPTION A L'ASSURANCE MALADIE MEDCAMER

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