The Eric Blair Network is pleased to offer this service of payment by credit card over Internet. Nevertheless, in order for us to assign each payment to the appropriate client and policy, we request that the following information is completed (information to be found on the bottom part of our invoices):

Information to provide: Equivalent on our invoice:   Assured name Nom [Required] Email address   [Required] Office Portef Eric G.F. Blair Monassur Riviera Insurance Brokers British Insurance Brokers of Aquitaine Amount due Primes Euros [Required] Use . for decimal point - No comas (,) allowed. Policy number Police [Required] Company Compagnie Invoice number Quitt. N° Policy period Période