Allianz Travel Insurance Receipt

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Allianz Travel Insurance Policy Services Department 9950 Mayland Drive Richmond, VA 23233 United States Phone: (804) 555-6621

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Travel Insurance Payment Receipt Thank you for choosing Allianz Travel Insurance

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Customer

Daniel Foster

Policy #

AZ-78452193

Phone

(555) 123-4567

Order #

ALZ-559842

[email protected]

Agent

Online Portal

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Date: 3/30/2026 Time: 4:31:03 PM Plan: OneTrip Prime Plan Coverage Type: Single Trip Destination: Europe Travel Dates: 10/10/2026 - 10/25/2026

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Base Premium

$120.00

Service Fee

$9.99

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Subtotal$129.99

Taxes$10.92

Total

$140.91

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Payment MethodVisa Credit Card

Card Last 44721

StatusAPPROVED

Transaction ID983472615092

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Please retain this receipt for your records. Coverage subject to policy terms and conditions. Visit www.allianztravelinsurance.com for support. Safe travels with Allianz Travel Insurance!

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