travel.icealion.com Open in urlscan Pro
34.107.188.220  Public Scan

URL: https://travel.icealion.com/
Submission: On December 29 via api from US — Scanned from US

Form analysis 5 forms found in the DOM

POST #

<form autocomplete="off" onsubmit="return false;" method="post" action="#" class="insureForm" siq_id="autopick_2057">
  <ul class="stepper linear whitish-box">
    <li class="step active" id="stp1">
      <div data-step-label="Itinerary" class="step-title waves-effect waves-dark">Step 1 </div>
      <div class="step-content" style="padding-top:5px;">
        <input type="hidden" id="step1ok" value="" required="">
        <input type="hidden" id="saved" value="" required="">
        <input type="hidden" id="redurl" value="" required="">
        <input type="hidden" id="pricing-plan-hidden" value="" required="">
        <div class="col-12 init-step-query">
          <label class="active">Please select your travel type</label><br>
        </div>
        <div class="row ">
          <div class="row col-12">
            <div class="col-md-6">
              <button type="button" id="outbound-flight-btn" class="waves-effect waves-dark btn btn-block iceagoldbg flight-type">
                <span class="material-symbols-outlined"> flight_takeoff </span><br><b>Out-bound Travel</b><br>If travelling out of East Africa</button>
            </div>
            <div class="col-md-6">
              <button type="button" id="inbound-flight-btn" class="waves-effect waves-dark btn btn-block iceagoldbg flight-type">
                <span class="material-symbols-outlined"> flight_land </span><br><b>In-bound Travel</b>
                <br>If travelling into East Africa</button>
            </div>
          </div>
        </div>
        <div id="step-1-trip-type-div-label" class="col-12 init-step-query hide-me">
          <label class="active">Please select your trip type &nbsp;&nbsp;</label>
          <i class="fa fa-question-circle" data-toggle="modal" data-target="#plan-modal" aria-hidden="true"></i>
        </div>
        <div id="step-1-trip-type-div" class="row hide-me">
          <div class="row col-12">
            <div class="col-md-3">
              <button type="button" id="btn-SINGLETRIP-trip" class="waves-effect waves-dark btn btn-block iceagoldbg flight-type">
                <span class="material-symbols-outlined"> airplanemode_active </span><br><b>Single Trip</b>
              </button>
            </div>
            <div class="col-md-3">
              <button type="button" id="btn-ANNUALMULTITRIP-trip" class="waves-effect waves-dark btn btn-block iceagoldbg flight-type">
                <span class="material-symbols-outlined"> date_range </span><br><b>Annual Multi-Trip</b>
              </button>
            </div>
            <div class="col-md-3">
              <button type="button" id="btn-GROUP-trip" class="waves-effect waves-dark btn btn-block iceagoldbg flight-type">
                <span class="material-symbols-outlined"> group_add </span><br><b>Group</b>
              </button>
            </div>
            <div class="col-md-3">
              <button type="button" id="btn-STUDENT-trip" class="waves-effect waves-dark btn btn-block iceagoldbg flight-type">
                <span class="material-symbols-outlined"> school </span><br><b>Student</b>
              </button>
            </div>
          </div>
        </div>
        <div id="step-1-trip-days-div-label" class="col-12 init-step-query hide-me">
          <label class="active">Please select the maximum number of days per any one trip you will be travelling within the year. &nbsp;&nbsp;</label>
          <i class="fa fa-question-circle hide-me" data-toggle="modal" data-target="#plan-modal" aria-hidden="true"></i>
        </div>
        <div id="step-1-trip-days-div" class="row hide-me">
          <div class="row col-12">
            <div class="col-md-4">
              <button type="button" id="btn-45-trip" class="waves-effect waves-dark btn btn-block iceagoldbg flight-type">
                <span class="material-symbols-outlined"> calendar_today </span><br><b>MAX 45 DAYS</b>
              </button>
            </div>
            <div class="col-md-4">
              <button type="button" id="btn-60-trip" class="waves-effect waves-dark btn btn-block iceagoldbg flight-type">
                <span class="material-symbols-outlined"> event </span><br><b>MAX 60 DAYS</b>
              </button>
            </div>
            <div class="col-md-4">
              <button type="button" id="btn-90-trip" class="waves-effect waves-dark btn btn-block iceagoldbg flight-type">
                <span class="material-symbols-outlined"> event_note </span><br><b>MAX 90 DAYS</b>
              </button>
            </div>
          </div>
        </div>
        <div id="step-1-parent" class="row   hide-me">
          <div class="row col-12">
            <div class="input-field col col-md-6 col-12">
              <label id="adultCountLabel" for="numberOfAdults" class="active">Number of Adults</label>
              <input name="numberOfAdults" id="numberOfAdults" type="number" min="0" class="form-control validate" value="" required="">
              <div class="row elementsHolder extraelementsHolder col col-lg-12 col-md-12 col-sm-12">
                <div class="col-lg-12 col-md-12 col-sm-12 divsDl adLDB noa">
                  <div class="adultModalBody col-lg-8 col-md-8 col-sm-8"></div>
                </div>
              </div>
            </div>
            <div class="input-field col col-md-6 col-12">
              <label id="childCountLabel" for="numberOfChildren" class="active">Number of Children</label>
              <input name="numberOfChildren" id="numberOfChildren" type="number" min="0" class="form-control validate" value="" required="">
              <div class="row elementsHolder extraelementsHolder col col-lg-12 col-md-12 col-sm-12">
                <div class="col-lg-12 col-md-12 col-sm-12 divsDl adLDB noc">
                  <div class="childModalBody col-lg-8 col-md-8 col-sm-8"></div>
                </div>
              </div>
            </div>
          </div>
          <div class="row col-12 jacob-miriam-rose-space">
            <div class="input-field col col-md-6 col-12">
              <label for="reasonfortravel" class="active">Reason for Travel</label>
              <select name="reasonfortravel" id="reasonForTravel" class="form-control select2-hidden-accessible" data-select2-id="reasonForTravel" tabindex="-1" aria-hidden="true">
                <option value="" disabled="" selected="" data-select2-id="2">Select reason for travel </option>
                <option value="Leisure">Leisure</option>
                <option value="Business">Business</option>
                <option value="Study">Study</option>
                <option value="Medical">Medical</option>
              </select><span class="select2 select2-container select2-container--default" dir="ltr" data-select2-id="1" style="width: auto;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
                    aria-haspopup="true" aria-expanded="false" tabindex="0" aria-disabled="false" aria-labelledby="select2-reasonForTravel-container"><span class="select2-selection__rendered" id="select2-reasonForTravel-container" role="textbox"
                      aria-readonly="true" title="Select reason for travel
																">Select reason for travel </span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
            </div>
            <div class="input-field col col-md-6 col-12">
              <label for="nationality" class="active">Traveller Nationality</label>
              <select name="nationality" id="nationality" class="form-control select2-hidden-accessible" data-select2-id="nationality" tabindex="-1" aria-hidden="true">
                <option value="" disabled="" selected="" data-select2-id="11">Select traveller nationality </option>
                <option value="Aland Islands;Aland Island">Aland Island</option>
                <option value="Albania;Albanian">Albanian</option>
                <option value="Algeria;Algerian">Algerian</option>
                <option value="American Samoa;American Samoan">American Samoan</option>
                <option value="Andorra;Andorran">Andorran</option>
                <option value="Angola;Angolan">Angolan</option>
                <option value="Anguilla;Anguillan">Anguillan</option>
                <option value="Antarctica;Antarctic">Antarctic</option>
                <option value="Antigua and Barbuda;Antiguan or Barbudan">Antiguan or Barbudan</option>
                <option value="Argentina;Argentine">Argentine</option>
                <option value="Armenia;Armenian">Armenian</option>
                <option value="Aruba;Aruban">Aruban</option>
                <option value="Australia;Australian">Australian</option>
                <option value="Austria;Austrian">Austrian</option>
                <option value="Azerbaijan;Azerbaijani, Azeri">Azerbaijani, Azeri</option>
                <option value="Bahamas;Bahamian">Bahamian</option>
                <option value="Bahrain;Bahraini">Bahraini</option>
                <option value="Bangladesh;Bangladeshi">Bangladeshi</option>
                <option value="Barbados;Barbadian">Barbadian</option>
                <option value="Belarus;Belarusian">Belarusian</option>
                <option value="Belgium;Belgian">Belgian</option>
                <option value="Belize;Belizean">Belizean</option>
                <option value="Benin;Beninese, Beninois">Beninese, Beninois</option>
                <option value="Bermuda;Bermudian, Bermudan">Bermudian, Bermudan</option>
                <option value="Bhutan;Bhutanese">Bhutanese</option>
                <option value="Bolivia (Plurinational State of);Bolivian">Bolivian</option>
                <option value="Bonaire, Sint Eustatius and Saba;Bonaire">Bonaire</option>
                <option value="Bosnia and Herzegovina;Bosnian or Herzegovinian">Bosnian or Herzegovinian</option>
                <option value="Botswana;Motswana, Botswanan">Motswana, Botswanan</option>
                <option value="Bouvet Island;Bouvet Island">Bouvet Island</option>
                <option value="Brazil;Brazilian">Brazilian</option>
                <option value="British Indian Ocean Territory;BIOT">BIOT</option>
                <option value="Brunei Darussalam;Bruneian">Bruneian</option>
                <option value="Bulgaria;Bulgarian">Bulgarian</option>
                <option value="Burkina Faso;Burkinabé">Burkinabé</option>
                <option value="Burundi;Burundian">Burundian</option>
                <option value="Cabo Verde;Cabo Verdean">Cabo Verdean</option>
                <option value="Cambodia;Cambodian">Cambodian</option>
                <option value="Cameroon;Cameroonian">Cameroonian</option>
                <option value="Canada;Canadian">Canadian</option>
                <option value="Cayman Islands;Caymanian">Caymanian</option>
                <option value="Central African Republic;Central African">Central African</option>
                <option value="Chad;Chadian">Chadian</option>
                <option value="Chile;Chilean">Chilean</option>
                <option value="China;Chinese">Chinese</option>
                <option value="Christmas Island;Christmas Island">Christmas Island</option>
                <option value="Cocos (Keeling) Islands;Cocos Island">Cocos Island</option>
                <option value="Colombia;Colombian">Colombian</option>
                <option value="Comoros;Comoran, Comorian">Comoran, Comorian</option>
                <option value="Congo (Republic of the);Congolese">Congolese</option>
                <option value="Congo (Democratic Republic of the);Congolese">Congolese</option>
                <option value="Cook Islands;Cook Island">Cook Island</option>
                <option value="Costa Rica;Costa Rican">Costa Rican</option>
                <option value="Côte d'Ivoire;Ivorian">Ivorian</option>
                <option value="Croatia;Croatian">Croatian</option>
                <option value="Cuba;Cuban">Cuban</option>
                <option value="Curaçao;Curaçaoan">Curaçaoan</option>
                <option value="Cyprus;Cypriot">Cypriot</option>
                <option value="Czech Republic;Czech">Czech</option>
                <option value="Denmark;Danish">Danish</option>
                <option value="Djibouti;Djiboutian">Djiboutian</option>
                <option value="Dominica;Dominican">Dominican</option>
                <option value="Dominican Republic;Dominican">Dominican</option>
                <option value="Ecuador;Ecuadorian">Ecuadorian</option>
                <option value="Egypt;Egyptian">Egyptian</option>
                <option value="El Salvador;Salvadoran">Salvadoran</option>
                <option value="Equatorial Guinea;Equatorial Guinean, Equatoguinean">Equatorial Guinean, Equatoguinean</option>
                <option value="Eritrea;Eritrean">Eritrean</option>
                <option value="Estonia;Estonian">Estonian</option>
                <option value="Ethiopia;Ethiopian">Ethiopian</option>
                <option value="Falkland Islands (Malvinas);Falkland Island">Falkland Island</option>
                <option value="Faroe Islands;Faroese">Faroese</option>
                <option value="Fiji;Fijian">Fijian</option>
                <option value="Finland;Finnish">Finnish</option>
                <option value="France;French">French</option>
                <option value="French Guiana;French Guianese">French Guianese</option>
                <option value="French Polynesia;French Polynesian">French Polynesian</option>
                <option value="French Southern Territories;French Southern Territories">French Southern Territories</option>
                <option value="Gabon;Gabonese">Gabonese</option>
                <option value="Gambia;Gambian">Gambian</option>
                <option value="Georgia;Georgian">Georgian</option>
                <option value="Germany;German">German</option>
                <option value="Ghana;Ghanaian">Ghanaian</option>
                <option value="Gibraltar;Gibraltar">Gibraltar</option>
                <option value="Greece;Greek, Hellenic">Greek, Hellenic</option>
                <option value="Greenland;Greenlandic">Greenlandic</option>
                <option value="Grenada;Grenadian">Grenadian</option>
                <option value="Guadeloupe;Guadeloupe">Guadeloupe</option>
                <option value="Guam;Guamanian, Guambat">Guamanian, Guambat</option>
                <option value="Guatemala;Guatemalan">Guatemalan</option>
                <option value="Guernsey;Channel Island">Channel Island</option>
                <option value="Guinea;Guinean">Guinean</option>
                <option value="Guinea-Bissau;Bissau-Guinean">Bissau-Guinean</option>
                <option value="Guyana;Guyanese">Guyanese</option>
                <option value="Haiti;Haitian">Haitian</option>
                <option value="Heard Island and McDonald Islands;Heard Island or McDonald Islands">Heard Island or McDonald Islands</option>
                <option value="Vatican City State;Vatican">Vatican</option>
                <option value="Honduras;Honduran">Honduran</option>
                <option value="Hong Kong;Hong Kong, Hong Kongese">Hong Kong, Hong Kongese</option>
                <option value="Hungary;Hungarian, Magyar">Hungarian, Magyar</option>
                <option value="Iceland;Icelandic">Icelandic</option>
                <option value="India;Indian">Indian</option>
                <option value="Indonesia;Indonesian">Indonesian</option>
                <option value="Iraq;Iraqi">Iraqi</option>
                <option value="Ireland;Irish">Irish</option>
                <option value="Isle of Man;Manx">Manx</option>
                <option value="Israel;Israeli">Israeli</option>
                <option value="Italy;Italian">Italian</option>
                <option value="Jamaica;Jamaican">Jamaican</option>
                <option value="Japan;Japanese">Japanese</option>
                <option value="Jersey;Channel Island">Channel Island</option>
                <option value="Jordan;Jordanian">Jordanian</option>
                <option value="Kazakhstan;Kazakhstani, Kazakh">Kazakhstani, Kazakh</option>
                <option value="Kenya;Kenyan">Kenyan</option>
                <option value="Kiribati;I-Kiribati">I-Kiribati</option>
                <option value="Korea (Democratic People's Republic of);North Korean">North Korean</option>
                <option value="Korea (Republic of);South Korean">South Korean</option>
                <option value="Kuwait;Kuwaiti">Kuwaiti</option>
                <option value="Kyrgyzstan;Kyrgyzstani, Kyrgyz, Kirgiz, Kirghiz">Kyrgyzstani, Kyrgyz, Kirgiz, Kirghiz</option>
                <option value="Lao People's Democratic Republic;Lao, Laotian">Lao, Laotian</option>
                <option value="Latvia;Latvian">Latvian</option>
                <option value="Lebanon;Lebanese">Lebanese</option>
                <option value="Lesotho;Basotho">Basotho</option>
                <option value="Liberia;Liberian">Liberian</option>
                <option value="Libya;Libyan">Libyan</option>
                <option value="Liechtenstein;Liechtenstein">Liechtenstein</option>
                <option value="Lithuania;Lithuanian">Lithuanian</option>
                <option value="Luxembourg;Luxembourg, Luxembourgish">Luxembourg, Luxembourgish</option>
                <option value="Macao;Macanese, Chinese">Macanese, Chinese</option>
                <option value="Macedonia (the former Yugoslav Republic of);Macedonian">Macedonian</option>
                <option value="Madagascar;Malagasy">Malagasy</option>
                <option value="Malawi;Malawian">Malawian</option>
                <option value="Malaysia;Malaysian">Malaysian</option>
                <option value="Maldives;Maldivian">Maldivian</option>
                <option value="Mali;Malian, Malinese">Malian, Malinese</option>
                <option value="Malta;Maltese">Maltese</option>
                <option value="Marshall Islands;Marshallese">Marshallese</option>
                <option value="Martinique;Martiniquais, Martinican">Martiniquais, Martinican</option>
                <option value="Mauritania;Mauritanian">Mauritanian</option>
                <option value="Mauritius;Mauritian">Mauritian</option>
                <option value="Mayotte;Mahoran">Mahoran</option>
                <option value="Mexico;Mexican">Mexican</option>
                <option value="Micronesia (Federated States of);Micronesian">Micronesian</option>
                <option value="Moldova (Republic of);Moldovan">Moldovan</option>
                <option value="Monaco;Monégasque, Monacan">Monégasque, Monacan</option>
                <option value="Mongolia;Mongolian">Mongolian</option>
                <option value="Montenegro;Montenegrin">Montenegrin</option>
                <option value="Montserrat;Montserratian">Montserratian</option>
                <option value="Morocco;Moroccan">Moroccan</option>
                <option value="Mozambique;Mozambican">Mozambican</option>
                <option value="Myanmar;Burmese">Burmese</option>
                <option value="Namibia;Namibian">Namibian</option>
                <option value="Nauru;Nauruan">Nauruan</option>
                <option value="Nepal;Nepali, Nepalese">Nepali, Nepalese</option>
                <option value="Netherlands;Dutch, Netherlandic">Dutch, Netherlandic</option>
                <option value="New Caledonia;New Caledonian">New Caledonian</option>
                <option value="New Zealand;New Zealand, NZ">New Zealand, NZ</option>
                <option value="Nicaragua;Nicaraguan">Nicaraguan</option>
                <option value="Niger;Nigerien">Nigerien</option>
                <option value="Nigeria;Nigerian">Nigerian</option>
                <option value="Niue;Niuean">Niuean</option>
                <option value="Norfolk Island;Norfolk Island">Norfolk Island</option>
                <option value="Northern Mariana Islands;Northern Marianan">Northern Marianan</option>
                <option value="Norway;Norwegian">Norwegian</option>
                <option value="Oman;Omani">Omani</option>
                <option value="Palau;Palauan">Palauan</option>
                <option value="Palestine, State of;Palestinian">Palestinian</option>
                <option value="Panama;Panamanian">Panamanian</option>
                <option value="Papua New Guinea;Papua New Guinean, Papuan">Papua New Guinean, Papuan</option>
                <option value="Paraguay;Paraguayan">Paraguayan</option>
                <option value="Peru;Peruvian">Peruvian</option>
                <option value="Philippines;Philippine, Filipino">Philippine, Filipino</option>
                <option value="Pitcairn;Pitcairn Island">Pitcairn Island</option>
                <option value="Poland;Polish">Polish</option>
                <option value="Portugal;Portuguese">Portuguese</option>
                <option value="Puerto Rico;Puerto Rican">Puerto Rican</option>
                <option value="Qatar;Qatari">Qatari</option>
                <option value="Réunion;Réunionese, Réunionnais">Réunionese, Réunionnais</option>
                <option value="Romania;Romanian">Romanian</option>
                <option value="Russian Federation;Russian">Russian</option>
                <option value="Rwanda;Rwandan">Rwandan</option>
                <option value="Saint Barthélemy;Barthélemois">Barthélemois</option>
                <option value="Saint Helena, Ascension and Tristan da Cunha;Saint Helenian">Saint Helenian</option>
                <option value="Saint Kitts and Nevis;Kittitian or Nevisian">Kittitian or Nevisian</option>
                <option value="Saint Lucia;Saint Lucian">Saint Lucian</option>
                <option value="Saint Martin (French part);Saint-Martinoise">Saint-Martinoise</option>
                <option value="Saint Pierre and Miquelon;Saint-Pierrais or Miquelonnais">Saint-Pierrais or Miquelonnais</option>
                <option value="Saint Vincent and the Grenadines;Saint Vincentian, Vincentian">Saint Vincentian, Vincentian</option>
                <option value="Samoa;Samoan">Samoan</option>
                <option value="San Marino;Sammarinese">Sammarinese</option>
                <option value="Sao Tome and Principe;São Toméan">São Toméan</option>
                <option value="Saudi Arabia;Saudi, Saudi Arabian">Saudi, Saudi Arabian</option>
                <option value="Senegal;Senegalese">Senegalese</option>
                <option value="Serbia;Serbian">Serbian</option>
                <option value="Seychelles;Seychellois">Seychellois</option>
                <option value="Sierra Leone;Sierra Leonean">Sierra Leonean</option>
                <option value="Singapore;Singaporean">Singaporean</option>
                <option value="Sint Maarten (Dutch part);Sint Maarten">Sint Maarten</option>
                <option value="Slovakia;Slovak">Slovak</option>
                <option value="Slovenia;Slovenian, Slovene">Slovenian, Slovene</option>
                <option value="Solomon Islands;Solomon Island">Solomon Island</option>
                <option value="Somalia;Somali, Somalian">Somali, Somalian</option>
                <option value="South Africa;South African">South African</option>
                <option value="South Georgia and the South Sandwich Islands;South Georgia or South Sandwich Islands">South Georgia or South Sandwich Islands</option>
                <option value="South Sudan;South Sudanese">South Sudanese</option>
                <option value="Spain;Spanish">Spanish</option>
                <option value="Sri Lanka;Sri Lankan">Sri Lankan</option>
                <option value="Sudan;Sudanese">Sudanese</option>
                <option value="Suriname;Surinamese">Surinamese</option>
                <option value="Svalbard and Jan Mayen;Svalbard">Svalbard</option>
                <option value="Swaziland;Swazi">Swazi</option>
                <option value="Sweden;Swedish">Swedish</option>
                <option value="Switzerland;Swiss">Swiss</option>
                <option value="Taiwan, Province of China;Chinese, Taiwanese">Chinese, Taiwanese</option>
                <option value="Tajikistan;Tajikistani">Tajikistani</option>
                <option value="Tanzania, United Republic of;Tanzanian">Tanzanian</option>
                <option value="Thailand;Thai">Thai</option>
                <option value="Timor-Leste;Timorese">Timorese</option>
                <option value="Togo;Togolese">Togolese</option>
                <option value="Tokelau;Tokelauan">Tokelauan</option>
                <option value="Tonga;Tongan">Tongan</option>
                <option value="Trinidad and Tobago;Trinidadian or Tobagonian">Trinidadian or Tobagonian</option>
                <option value="Tunisia;Tunisian">Tunisian</option>
                <option value="Turkey;Turkish">Turkish</option>
                <option value="Turkmenistan;Turkmen">Turkmen</option>
                <option value="Turks and Caicos Islands;Turks and Caicos Island">Turks and Caicos Island</option>
                <option value="Tuvalu;Tuvaluan">Tuvaluan</option>
                <option value="Uganda;Ugandan">Ugandan</option>
                <option value="Ukraine;Ukrainian">Ukrainian</option>
                <option value="United Arab Emirates;Emirati, Emirian, Emiri">Emirati, Emirian, Emiri</option>
                <option value="United Kingdom of Great Britain and Northern Ireland;British, UK">British, UK</option>
                <option value="United States Minor Outlying Islands;American">American</option>
                <option value="United States of America;American">American</option>
                <option value="Uruguay;Uruguayan">Uruguayan</option>
                <option value="Uzbekistan;Uzbekistani, Uzbek">Uzbekistani, Uzbek</option>
                <option value="Vanuatu;Ni-Vanuatu, Vanuatuan">Ni-Vanuatu, Vanuatuan</option>
                <option value="Venezuela (Bolivarian Republic of);Venezuelan">Venezuelan</option>
                <option value="Vietnam;Vietnamese">Vietnamese</option>
                <option value="Virgin Islands (British);British Virgin Island">British Virgin Island</option>
                <option value="Virgin Islands (U.S.);U.S. Virgin Island">U.S. Virgin Island</option>
                <option value="Wallis and Futuna;Wallis and Futuna, Wallisian or Futunan">Wallis and Futuna, Wallisian or Futunan</option>
                <option value="Western Sahara;Sahrawi, Sahrawian, Sahraouian">Sahrawi, Sahrawian, Sahraouian</option>
                <option value="Yemen;Yemeni">Yemeni</option>
                <option value="Zambia;Zambian">Zambian</option>
                <option value="Zimbabwe;Zimbabwean">Zimbabwean</option>
              </select><span class="select2 select2-container select2-container--default" dir="ltr" data-select2-id="10" style="width: auto;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
                    aria-haspopup="true" aria-expanded="false" tabindex="0" aria-disabled="false" aria-labelledby="select2-nationality-container"><span class="select2-selection__rendered" id="select2-nationality-container" role="textbox"
                      aria-readonly="true" title="Select traveller nationality
																">Select traveller nationality </span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
            </div>
          </div>
          <div class="row col-12 jacob-miriam-rose-space">
            <div class="input-field col col-md-6 col-12">
              <label for="fromCountry" class="active">Country of Departure</label>
              <select name="fromCountry" id="fromCountry" class="form-control select2-hidden-accessible" data-select2-id="fromCountry" tabindex="-1" aria-hidden="true">
                <option value="" disabled="" selected="" data-select2-id="8">Select country of departure </option>
                <option value="Europe;Serbia">Serbia</option>
                <option value="Europe;Albania">Albania</option>
                <option value="Africa;Algeria">Algeria</option>
                <option value="Oceania;American Samoa">American Samoa</option>
                <option value="Europe;Andorra">Andorra</option>
                <option value="Africa;Angola">Angola</option>
                <option value="North America;Anguilla">Anguilla</option>
                <option value="Antarctica;Antarctica">Antarctica</option>
                <option value="North America;Antigua and Barbuda">Antigua and Barbuda</option>
                <option value="South America;Argentina">Argentina</option>
                <option value="Asia;Armenia">Armenia</option>
                <option value="North America;Aruba">Aruba</option>
                <option value="Oceania;Australia">Australia</option>
                <option value="Europe;Austria">Austria</option>
                <option value="Asia;Azerbaijan">Azerbaijan</option>
                <option value="North America;Bahamas">Bahamas</option>
                <option value="Asia;Bahrain">Bahrain</option>
                <option value="Asia;Bangladesh">Bangladesh</option>
                <option value="North America;Barbados">Barbados</option>
                <option value="Europe;Belarus">Belarus</option>
                <option value="Europe;Belgium">Belgium</option>
                <option value="North America;Belize">Belize</option>
                <option value="Africa;Benin">Benin</option>
                <option value="North America;Bermuda">Bermuda</option>
                <option value="Asia;Bhutan">Bhutan</option>
                <option value="South America;Bolivia">Bolivia</option>
                <option value="Europe;Bosnia and Herzegovina">Bosnia and Herzegovina</option>
                <option value="Africa;Botswana">Botswana</option>
                <option value="Antarctica;Bouvet Island">Bouvet Island</option>
                <option value="South America;Brazil">Brazil</option>
                <option value="Africa;British Indian Ocean Territory">British Indian Ocean Territory</option>
                <option value="Asia;Brunei">Brunei</option>
                <option value="Europe;Bulgaria">Bulgaria</option>
                <option value="Africa;Burkina Faso">Burkina Faso</option>
                <option value="Africa;Burundi">Burundi</option>
                <option value="Asia;Cambodia">Cambodia</option>
                <option value="Africa;Cameroon">Cameroon</option>
                <option value="North America;Canada">Canada</option>
                <option value="Africa;Cape Verde">Cape Verde</option>
                <option value="North America;Cayman Islands">Cayman Islands</option>
                <option value="Africa;Central African Republic">Central African Republic</option>
                <option value="Africa;Chad">Chad</option>
                <option value="South America;Chile">Chile</option>
                <option value="Asia;China">China</option>
                <option value="Oceania;Christmas Island">Christmas Island</option>
                <option value="Oceania;Cocos (Keeling) Islands">Cocos (Keeling) Islands</option>
                <option value="South America;Colombia">Colombia</option>
                <option value="Africa;Comoros">Comoros</option>
                <option value="Africa;Congo">Congo</option>
                <option value="Oceania;Cook Islands">Cook Islands</option>
                <option value="North America;Costa Rica">Costa Rica</option>
                <option value="Europe;Croatia">Croatia</option>
                <option value="North America;Cuba">Cuba</option>
                <option value="Asia;Cyprus">Cyprus</option>
                <option value="Europe;Czech Republic">Czech Republic</option>
                <option value="Europe;Denmark">Denmark</option>
                <option value="Africa;Djibouti">Djibouti</option>
                <option value="North America;Dominica">Dominica</option>
                <option value="North America;Dominican Republic">Dominican Republic</option>
                <option value="Asia;East Timor">East Timor</option>
                <option value="South America;Ecuador">Ecuador</option>
                <option value="Africa;Egypt">Egypt</option>
                <option value="North America;El Salvador">El Salvador</option>
                <option value="Europe;England">England</option>
                <option value="Africa;Equatorial Guinea">Equatorial Guinea</option>
                <option value="Africa;Eritrea">Eritrea</option>
                <option value="Europe;Estonia">Estonia</option>
                <option value="Africa;Ethiopia">Ethiopia</option>
                <option value="South America;Falkland Islands">Falkland Islands</option>
                <option value="Europe;Faroe Islands">Faroe Islands</option>
                <option value="Oceania;Fiji Islands">Fiji Islands</option>
                <option value="Europe;Finland">Finland</option>
                <option value="Europe;France">France</option>
                <option value="South America;French Guiana">French Guiana</option>
                <option value="Oceania;French Polynesia">French Polynesia</option>
                <option value="Antarctica;French Southern territories">French Southern territories</option>
                <option value="Africa;Gabon">Gabon</option>
                <option value="Africa;Gambia">Gambia</option>
                <option value="Asia;Georgia">Georgia</option>
                <option value="Europe;Germany">Germany</option>
                <option value="Africa;Ghana">Ghana</option>
                <option value="Europe;Gibraltar">Gibraltar</option>
                <option value="Europe;Greece">Greece</option>
                <option value="North America;Greenland">Greenland</option>
                <option value="North America;Grenada">Grenada</option>
                <option value="North America;Guadeloupe">Guadeloupe</option>
                <option value="Oceania;Guam">Guam</option>
                <option value="North America;Guatemala">Guatemala</option>
                <option value="Africa;Guinea">Guinea</option>
                <option value="Africa;Guinea-Bissau">Guinea-Bissau</option>
                <option value="South America;Guyana">Guyana</option>
                <option value="North America;Haiti">Haiti</option>
                <option value="Antarctica;Heard Island and McDonald Islands">Heard Island and McDonald Islands</option>
                <option value="Europe;Holy See (Vatican City State)">Holy See (Vatican City State)</option>
                <option value="North America;Honduras">Honduras</option>
                <option value="Asia;Hong Kong">Hong Kong</option>
                <option value="Europe;Hungary">Hungary</option>
                <option value="Europe;Iceland">Iceland</option>
                <option value="Asia;India">India</option>
                <option value="Asia;Indonesia">Indonesia</option>
                <option value="Europe;Ireland">Ireland</option>
                <option value="Asia;Israel">Israel</option>
                <option value="Europe;Italy">Italy</option>
                <option value="Africa;Ivory Coast">Ivory Coast</option>
                <option value="North America;Jamaica">Jamaica</option>
                <option value="Asia;Japan">Japan</option>
                <option value="Asia;Jordan">Jordan</option>
                <option value="Europe;Kazakstan">Kazakstan</option>
                <option value="Africa;Kenya">Kenya</option>
                <option value="Oceania;Kiribati">Kiribati</option>
                <option value="Asia;Kuwait">Kuwait</option>
                <option value="Asia;Kyrgyzstan">Kyrgyzstan</option>
                <option value="Asia;Laos">Laos</option>
                <option value="Europe;Latvia">Latvia</option>
                <option value="Asia;Lebanon">Lebanon</option>
                <option value="Africa;Lesotho">Lesotho</option>
                <option value="Africa;Liberia">Liberia</option>
                <option value="Africa;Libyan Arab Jamahiriya">Libyan Arab Jamahiriya</option>
                <option value="Europe;Liechtenstein">Liechtenstein</option>
                <option value="Europe;Lithuania">Lithuania</option>
                <option value="Europe;Luxembourg">Luxembourg</option>
                <option value="Asia;Macao">Macao</option>
                <option value="Europe;Macedonia">Macedonia</option>
                <option value="Africa;Madagascar">Madagascar</option>
                <option value="Africa;Malawi">Malawi</option>
                <option value="Asia;Malaysia">Malaysia</option>
                <option value="Asia;Maldives">Maldives</option>
                <option value="Africa;Mali">Mali</option>
                <option value="Europe;Malta">Malta</option>
                <option value="Oceania;Marshall Islands">Marshall Islands</option>
                <option value="North America;Martinique">Martinique</option>
                <option value="Africa;Mauritania">Mauritania</option>
                <option value="Africa;Mauritius">Mauritius</option>
                <option value="Africa;Mayotte">Mayotte</option>
                <option value="North America;Mexico">Mexico</option>
                <option value="Oceania;Micronesia, Federated States of">Micronesia, Federated States of</option>
                <option value="Europe;Moldova">Moldova</option>
                <option value="Europe;Monaco">Monaco</option>
                <option value="Asia;Mongolia">Mongolia</option>
                <option value="North America;Montserrat">Montserrat</option>
                <option value="Africa;Morocco">Morocco</option>
                <option value="Africa;Mozambique">Mozambique</option>
                <option value="Asia;Myanmar">Myanmar</option>
                <option value="Africa;Namibia">Namibia</option>
                <option value="Oceania;Nauru">Nauru</option>
                <option value="Europe;Netherlands">Netherlands</option>
                <option value="North America;Netherlands Antilles">Netherlands Antilles</option>
                <option value="Oceania;New Caledonia">New Caledonia</option>
                <option value="Oceania;New Zealand">New Zealand</option>
                <option value="North America;Nicaragua">Nicaragua</option>
                <option value="Africa;Niger">Niger</option>
                <option value="Africa;Nigeria">Nigeria</option>
                <option value="Oceania;Niue">Niue</option>
                <option value="Oceania;Norfolk Island">Norfolk Island</option>
                <option value="Asia;North Korea">North Korea</option>
                <option value="Europe;Northern Ireland">Northern Ireland</option>
                <option value="Oceania;Northern Mariana Islands">Northern Mariana Islands</option>
                <option value="Europe;Norway">Norway</option>
                <option value="Asia;Oman">Oman</option>
                <option value="Oceania;Palau">Palau</option>
                <option value="Asia;Palestine">Palestine</option>
                <option value="North America;Panama">Panama</option>
                <option value="Oceania;Papua New Guinea">Papua New Guinea</option>
                <option value="South America;Paraguay">Paraguay</option>
                <option value="South America;Peru">Peru</option>
                <option value="Asia;Philippines">Philippines</option>
                <option value="Oceania;Pitcairn">Pitcairn</option>
                <option value="Europe;Poland">Poland</option>
                <option value="Europe;Portugal">Portugal</option>
                <option value="North America;Puerto Rico">Puerto Rico</option>
                <option value="Asia;Qatar">Qatar</option>
                <option value="Africa;Reunion">Reunion</option>
                <option value="Europe;Romania">Romania</option>
                <option value="Europe;Russian Federation">Russian Federation</option>
                <option value="Africa;Rwanda">Rwanda</option>
                <option value="Africa;Saint Helena">Saint Helena</option>
                <option value="North America;Saint Kitts and Nevis">Saint Kitts and Nevis</option>
                <option value="North America;Saint Lucia">Saint Lucia</option>
                <option value="North America;Saint Pierre and Miquelon">Saint Pierre and Miquelon</option>
                <option value="North America;Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
                <option value="Oceania;Samoa">Samoa</option>
                <option value="Europe;San Marino">San Marino</option>
                <option value="Africa;Sao Tome and Principe">Sao Tome and Principe</option>
                <option value="Asia;Saudi Arabia">Saudi Arabia</option>
                <option value="Europe;Scotland">Scotland</option>
                <option value="Africa;Senegal">Senegal</option>
                <option value="Africa;Seychelles">Seychelles</option>
                <option value="Africa;Sierra Leone">Sierra Leone</option>
                <option value="Asia;Singapore">Singapore</option>
                <option value="Europe;Slovakia">Slovakia</option>
                <option value="Europe;Slovenia">Slovenia</option>
                <option value="Oceania;Solomon Islands">Solomon Islands</option>
                <option value="Africa;South Africa">South Africa</option>
                <option value="Antarctica;South Georgia and the South Sandwich Islands">South Georgia and the South Sandwich Islands</option>
                <option value="Asia;South Korea">South Korea</option>
                <option value="Africa;South Sudan">South Sudan</option>
                <option value="Europe;Spain">Spain</option>
                <option value="Europe;SriLanka">SriLanka</option>
                <option value="Africa;Sudan">Sudan</option>
                <option value="South America;Suriname">Suriname</option>
                <option value="Europe;Svalbard and Jan Mayen">Svalbard and Jan Mayen</option>
                <option value="Africa;Swaziland">Swaziland</option>
                <option value="Europe;Sweden">Sweden</option>
                <option value="Europe;Switzerland">Switzerland</option>
                <option value="Asia;Tajikistan">Tajikistan</option>
                <option value="Africa;Tanzania">Tanzania</option>
                <option value="Asia;Thailand">Thailand</option>
                <option value="Africa;The Democratic Republic of Congo">The Democratic Republic of Congo</option>
                <option value="Africa;Togo">Togo</option>
                <option value="Oceania;Tokelau">Tokelau</option>
                <option value="Oceania;Tonga">Tonga</option>
                <option value="North America;Trinidad and Tobago">Trinidad and Tobago</option>
                <option value="Africa;Tunisia">Tunisia</option>
                <option value="Asia;Turkey">Turkey</option>
                <option value="Asia;Turkmenistan">Turkmenistan</option>
                <option value="North America;Turks and Caicos Islands">Turks and Caicos Islands</option>
                <option value="Oceania;Tuvalu">Tuvalu</option>
                <option value="Africa;Uganda">Uganda</option>
                <option value="Europe;Ukraine">Ukraine</option>
                <option value="Asia;United Arab Emirates">United Arab Emirates</option>
                <option value="Europe;United Kingdom">United Kingdom</option>
                <option value="North America;United States of America">United States of America</option>
                <option value="South America;Uruguay">Uruguay</option>
                <option value="Asia;Uzbekistan">Uzbekistan</option>
                <option value="Oceania;Vanuatu">Vanuatu</option>
                <option value="South America;Venezuela">Venezuela</option>
                <option value="Asia;Vietnam">Vietnam</option>
                <option value="Europe;Virgin Islands, British">Virgin Islands, British</option>
                <option value="North America;Virgin Islands, U.S.">Virgin Islands, U.S.</option>
                <option value="Europe;Wales">Wales</option>
                <option value="Oceania;Wallis and Futuna">Wallis and Futuna</option>
                <option value="Africa;Western Sahara">Western Sahara</option>
                <option value="Asia;Yemen">Yemen</option>
                <option value="Europe;Yugoslavia">Yugoslavia</option>
                <option value="Africa;Zambia">Zambia</option>
                <option value="Africa;Zimbabwe">Zimbabwe</option>
              </select><span class="select2 select2-container select2-container--default" dir="ltr" data-select2-id="7" style="width: auto;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
                    aria-haspopup="true" aria-expanded="false" tabindex="0" aria-disabled="false" aria-labelledby="select2-fromCountry-container"><span class="select2-selection__rendered" id="select2-fromCountry-container" role="textbox"
                      aria-readonly="true" title="Select country of departure
																">Select country of departure </span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
            </div>
            <div class="input-field col col-md-6 col-12">
              <label for="destination" class="active">Destination</label>
              <select name="destination[]" id="destination" class="form-control select2-hidden-accessible" multiple="" data-select2-id="destination" tabindex="-1" aria-hidden="true">
                <option value="" disabled="">Select destination </option>
                <option value="Europe;Serbia">Serbia</option>
                <option value="Europe;Albania">Albania</option>
                <option value="Africa;Algeria">Algeria</option>
                <option value="Oceania;American Samoa">American Samoa</option>
                <option value="Europe;Andorra">Andorra</option>
                <option value="Africa;Angola">Angola</option>
                <option value="North America;Anguilla">Anguilla</option>
                <option value="Antarctica;Antarctica">Antarctica</option>
                <option value="North America;Antigua and Barbuda">Antigua and Barbuda</option>
                <option value="South America;Argentina">Argentina</option>
                <option value="Asia;Armenia">Armenia</option>
                <option value="North America;Aruba">Aruba</option>
                <option value="Oceania;Australia">Australia</option>
                <option value="Europe;Austria">Austria</option>
                <option value="Asia;Azerbaijan">Azerbaijan</option>
                <option value="North America;Bahamas">Bahamas</option>
                <option value="Asia;Bahrain">Bahrain</option>
                <option value="Asia;Bangladesh">Bangladesh</option>
                <option value="North America;Barbados">Barbados</option>
                <option value="Europe;Belarus">Belarus</option>
                <option value="Europe;Belgium">Belgium</option>
                <option value="North America;Belize">Belize</option>
                <option value="Africa;Benin">Benin</option>
                <option value="North America;Bermuda">Bermuda</option>
                <option value="Asia;Bhutan">Bhutan</option>
                <option value="South America;Bolivia">Bolivia</option>
                <option value="Europe;Bosnia and Herzegovina">Bosnia and Herzegovina</option>
                <option value="Africa;Botswana">Botswana</option>
                <option value="Antarctica;Bouvet Island">Bouvet Island</option>
                <option value="South America;Brazil">Brazil</option>
                <option value="Africa;British Indian Ocean Territory">British Indian Ocean Territory</option>
                <option value="Asia;Brunei">Brunei</option>
                <option value="Europe;Bulgaria">Bulgaria</option>
                <option value="Africa;Burkina Faso">Burkina Faso</option>
                <option value="Africa;Burundi">Burundi</option>
                <option value="Asia;Cambodia">Cambodia</option>
                <option value="Africa;Cameroon">Cameroon</option>
                <option value="North America;Canada">Canada</option>
                <option value="Africa;Cape Verde">Cape Verde</option>
                <option value="North America;Cayman Islands">Cayman Islands</option>
                <option value="Africa;Central African Republic">Central African Republic</option>
                <option value="Africa;Chad">Chad</option>
                <option value="South America;Chile">Chile</option>
                <option value="Asia;China">China</option>
                <option value="Oceania;Christmas Island">Christmas Island</option>
                <option value="Oceania;Cocos (Keeling) Islands">Cocos (Keeling) Islands</option>
                <option value="South America;Colombia">Colombia</option>
                <option value="Africa;Comoros">Comoros</option>
                <option value="Africa;Congo">Congo</option>
                <option value="Oceania;Cook Islands">Cook Islands</option>
                <option value="North America;Costa Rica">Costa Rica</option>
                <option value="Europe;Croatia">Croatia</option>
                <option value="North America;Cuba">Cuba</option>
                <option value="Asia;Cyprus">Cyprus</option>
                <option value="Europe;Czech Republic">Czech Republic</option>
                <option value="Europe;Denmark">Denmark</option>
                <option value="Africa;Djibouti">Djibouti</option>
                <option value="North America;Dominica">Dominica</option>
                <option value="North America;Dominican Republic">Dominican Republic</option>
                <option value="Asia;East Timor">East Timor</option>
                <option value="South America;Ecuador">Ecuador</option>
                <option value="Africa;Egypt">Egypt</option>
                <option value="North America;El Salvador">El Salvador</option>
                <option value="Europe;England">England</option>
                <option value="Africa;Equatorial Guinea">Equatorial Guinea</option>
                <option value="Africa;Eritrea">Eritrea</option>
                <option value="Europe;Estonia">Estonia</option>
                <option value="Africa;Ethiopia">Ethiopia</option>
                <option value="South America;Falkland Islands">Falkland Islands</option>
                <option value="Europe;Faroe Islands">Faroe Islands</option>
                <option value="Oceania;Fiji Islands">Fiji Islands</option>
                <option value="Europe;Finland">Finland</option>
                <option value="Europe;France">France</option>
                <option value="South America;French Guiana">French Guiana</option>
                <option value="Oceania;French Polynesia">French Polynesia</option>
                <option value="Antarctica;French Southern territories">French Southern territories</option>
                <option value="Africa;Gabon">Gabon</option>
                <option value="Africa;Gambia">Gambia</option>
                <option value="Asia;Georgia">Georgia</option>
                <option value="Europe;Germany">Germany</option>
                <option value="Africa;Ghana">Ghana</option>
                <option value="Europe;Gibraltar">Gibraltar</option>
                <option value="Europe;Greece">Greece</option>
                <option value="North America;Greenland">Greenland</option>
                <option value="North America;Grenada">Grenada</option>
                <option value="North America;Guadeloupe">Guadeloupe</option>
                <option value="Oceania;Guam">Guam</option>
                <option value="North America;Guatemala">Guatemala</option>
                <option value="Africa;Guinea">Guinea</option>
                <option value="Africa;Guinea-Bissau">Guinea-Bissau</option>
                <option value="South America;Guyana">Guyana</option>
                <option value="North America;Haiti">Haiti</option>
                <option value="Antarctica;Heard Island and McDonald Islands">Heard Island and McDonald Islands</option>
                <option value="Europe;Holy See (Vatican City State)">Holy See (Vatican City State)</option>
                <option value="North America;Honduras">Honduras</option>
                <option value="Asia;Hong Kong">Hong Kong</option>
                <option value="Europe;Hungary">Hungary</option>
                <option value="Europe;Iceland">Iceland</option>
                <option value="Asia;India">India</option>
                <option value="Asia;Indonesia">Indonesia</option>
                <option value="Europe;Ireland">Ireland</option>
                <option value="Asia;Israel">Israel</option>
                <option value="Europe;Italy">Italy</option>
                <option value="Africa;Ivory Coast">Ivory Coast</option>
                <option value="North America;Jamaica">Jamaica</option>
                <option value="Asia;Japan">Japan</option>
                <option value="Asia;Jordan">Jordan</option>
                <option value="Europe;Kazakstan">Kazakstan</option>
                <option value="Africa;Kenya">Kenya</option>
                <option value="Oceania;Kiribati">Kiribati</option>
                <option value="Asia;Kuwait">Kuwait</option>
                <option value="Asia;Kyrgyzstan">Kyrgyzstan</option>
                <option value="Asia;Laos">Laos</option>
                <option value="Europe;Latvia">Latvia</option>
                <option value="Asia;Lebanon">Lebanon</option>
                <option value="Africa;Lesotho">Lesotho</option>
                <option value="Africa;Liberia">Liberia</option>
                <option value="Africa;Libyan Arab Jamahiriya">Libyan Arab Jamahiriya</option>
                <option value="Europe;Liechtenstein">Liechtenstein</option>
                <option value="Europe;Lithuania">Lithuania</option>
                <option value="Europe;Luxembourg">Luxembourg</option>
                <option value="Asia;Macao">Macao</option>
                <option value="Europe;Macedonia">Macedonia</option>
                <option value="Africa;Madagascar">Madagascar</option>
                <option value="Africa;Malawi">Malawi</option>
                <option value="Asia;Malaysia">Malaysia</option>
                <option value="Asia;Maldives">Maldives</option>
                <option value="Africa;Mali">Mali</option>
                <option value="Europe;Malta">Malta</option>
                <option value="Oceania;Marshall Islands">Marshall Islands</option>
                <option value="North America;Martinique">Martinique</option>
                <option value="Africa;Mauritania">Mauritania</option>
                <option value="Africa;Mauritius">Mauritius</option>
                <option value="Africa;Mayotte">Mayotte</option>
                <option value="North America;Mexico">Mexico</option>
                <option value="Oceania;Micronesia, Federated States of">Micronesia, Federated States of</option>
                <option value="Europe;Moldova">Moldova</option>
                <option value="Europe;Monaco">Monaco</option>
                <option value="Asia;Mongolia">Mongolia</option>
                <option value="North America;Montserrat">Montserrat</option>
                <option value="Africa;Morocco">Morocco</option>
                <option value="Africa;Mozambique">Mozambique</option>
                <option value="Asia;Myanmar">Myanmar</option>
                <option value="Africa;Namibia">Namibia</option>
                <option value="Oceania;Nauru">Nauru</option>
                <option value="Europe;Netherlands">Netherlands</option>
                <option value="North America;Netherlands Antilles">Netherlands Antilles</option>
                <option value="Oceania;New Caledonia">New Caledonia</option>
                <option value="Oceania;New Zealand">New Zealand</option>
                <option value="North America;Nicaragua">Nicaragua</option>
                <option value="Africa;Niger">Niger</option>
                <option value="Africa;Nigeria">Nigeria</option>
                <option value="Oceania;Niue">Niue</option>
                <option value="Oceania;Norfolk Island">Norfolk Island</option>
                <option value="Asia;North Korea">North Korea</option>
                <option value="Europe;Northern Ireland">Northern Ireland</option>
                <option value="Oceania;Northern Mariana Islands">Northern Mariana Islands</option>
                <option value="Europe;Norway">Norway</option>
                <option value="Asia;Oman">Oman</option>
                <option value="Oceania;Palau">Palau</option>
                <option value="Asia;Palestine">Palestine</option>
                <option value="North America;Panama">Panama</option>
                <option value="Oceania;Papua New Guinea">Papua New Guinea</option>
                <option value="South America;Paraguay">Paraguay</option>
                <option value="South America;Peru">Peru</option>
                <option value="Asia;Philippines">Philippines</option>
                <option value="Oceania;Pitcairn">Pitcairn</option>
                <option value="Europe;Poland">Poland</option>
                <option value="Europe;Portugal">Portugal</option>
                <option value="North America;Puerto Rico">Puerto Rico</option>
                <option value="Asia;Qatar">Qatar</option>
                <option value="Africa;Reunion">Reunion</option>
                <option value="Europe;Romania">Romania</option>
                <option value="Europe;Russian Federation">Russian Federation</option>
                <option value="Africa;Rwanda">Rwanda</option>
                <option value="Africa;Saint Helena">Saint Helena</option>
                <option value="North America;Saint Kitts and Nevis">Saint Kitts and Nevis</option>
                <option value="North America;Saint Lucia">Saint Lucia</option>
                <option value="North America;Saint Pierre and Miquelon">Saint Pierre and Miquelon</option>
                <option value="North America;Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
                <option value="Oceania;Samoa">Samoa</option>
                <option value="Europe;San Marino">San Marino</option>
                <option value="Africa;Sao Tome and Principe">Sao Tome and Principe</option>
                <option value="Asia;Saudi Arabia">Saudi Arabia</option>
                <option value="Europe;Scotland">Scotland</option>
                <option value="Africa;Senegal">Senegal</option>
                <option value="Africa;Seychelles">Seychelles</option>
                <option value="Africa;Sierra Leone">Sierra Leone</option>
                <option value="Asia;Singapore">Singapore</option>
                <option value="Europe;Slovakia">Slovakia</option>
                <option value="Europe;Slovenia">Slovenia</option>
                <option value="Oceania;Solomon Islands">Solomon Islands</option>
                <option value="Africa;South Africa">South Africa</option>
                <option value="Antarctica;South Georgia and the South Sandwich Islands">South Georgia and the South Sandwich Islands</option>
                <option value="Asia;South Korea">South Korea</option>
                <option value="Africa;South Sudan">South Sudan</option>
                <option value="Europe;Spain">Spain</option>
                <option value="Europe;SriLanka">SriLanka</option>
                <option value="Africa;Sudan">Sudan</option>
                <option value="South America;Suriname">Suriname</option>
                <option value="Europe;Svalbard and Jan Mayen">Svalbard and Jan Mayen</option>
                <option value="Africa;Swaziland">Swaziland</option>
                <option value="Europe;Sweden">Sweden</option>
                <option value="Europe;Switzerland">Switzerland</option>
                <option value="Asia;Tajikistan">Tajikistan</option>
                <option value="Africa;Tanzania">Tanzania</option>
                <option value="Asia;Thailand">Thailand</option>
                <option value="Africa;The Democratic Republic of Congo">The Democratic Republic of Congo</option>
                <option value="Africa;Togo">Togo</option>
                <option value="Oceania;Tokelau">Tokelau</option>
                <option value="Oceania;Tonga">Tonga</option>
                <option value="North America;Trinidad and Tobago">Trinidad and Tobago</option>
                <option value="Africa;Tunisia">Tunisia</option>
                <option value="Asia;Turkey">Turkey</option>
                <option value="Asia;Turkmenistan">Turkmenistan</option>
                <option value="North America;Turks and Caicos Islands">Turks and Caicos Islands</option>
                <option value="Oceania;Tuvalu">Tuvalu</option>
                <option value="Africa;Uganda">Uganda</option>
                <option value="Europe;Ukraine">Ukraine</option>
                <option value="Asia;United Arab Emirates">United Arab Emirates</option>
                <option value="Europe;United Kingdom">United Kingdom</option>
                <option value="North America;United States of America">United States of America</option>
                <option value="South America;Uruguay">Uruguay</option>
                <option value="Asia;Uzbekistan">Uzbekistan</option>
                <option value="Oceania;Vanuatu">Vanuatu</option>
                <option value="South America;Venezuela">Venezuela</option>
                <option value="Asia;Vietnam">Vietnam</option>
                <option value="Europe;Virgin Islands, British">Virgin Islands, British</option>
                <option value="North America;Virgin Islands, U.S.">Virgin Islands, U.S.</option>
                <option value="Europe;Wales">Wales</option>
                <option value="Oceania;Wallis and Futuna">Wallis and Futuna</option>
                <option value="Africa;Western Sahara">Western Sahara</option>
                <option value="Asia;Yemen">Yemen</option>
                <option value="Europe;Yugoslavia">Yugoslavia</option>
                <option value="Africa;Zambia">Zambia</option>
                <option value="Africa;Zimbabwe">Zimbabwe</option>
              </select><span class="select2 select2-container select2-container--default" dir="ltr" data-select2-id="9" style="width: auto;"><span class="selection"><span class="select2-selection select2-selection--multiple" role="combobox"
                    aria-haspopup="true" aria-expanded="false" tabindex="-1" aria-disabled="false">
                    <ul class="select2-selection__rendered">
                      <li class="select2-search select2-search--inline"><input class="select2-search__field" type="search" tabindex="0" autocomplete="off" autocorrect="off" autocapitalize="none" spellcheck="false" role="searchbox"
                          aria-autocomplete="list" placeholder="" style="width: 0.75em;"></li>
                    </ul>
                  </span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
            </div>
          </div>
          <div class="row col-12 jacob-miriam-rose-space">
            <div class="input-field col col-md-6 col-12">
              <label id="departure-date-label" class="control-label active" for="dateFrom">Date Of Departure</label>
              <input data-toggle="datepicker" value="" required="" name="dateFrom" id="dateFrom" type="text" class="form-control">
            </div>
            <div class="input-field col col-md-6 col-12">
              <label id="return-date-label" class="control-label active" for="dateTo">Return Date</label>
              <input data-toggle="datepicker" value="" required="" name="dateTo" id="dateTo" type="text" class="form-control">
            </div>
          </div>
        </div>
        <div id="step-1-parent-actions" class="step-actions hide-me">
          <button id="h81" class="waves-effect waves-dark btn iceagoldbg next-step">
            <i class="material-icons">arrow_downward</i> NEXT</button>
        </div>
      </div>
    </li>
    <li class="step" id="stp2">
      <div data-step-label="Quotation" class="step-title waves-effect waves-dark">Step 2 </div>
      <div class="step-content">
        <div class="row" style="padding-top:5px;">
          <input type="hidden" id="step2ok" value="" required="">
          <input type="hidden" id="stp2amount" value="" required="">
          <div class="col row col-12">
            <div class="col-1"></div>
            <div class="col-10">
              <div class="removeMessages"></div>
              <div class="ajax-loader"></div>
            </div>
            <div class="col-1"></div>
          </div>
          <div class="col-md-12 hide-me">
            <p>View plan benefits. <a style="display:grid;" aria-label="ICEA LION TRAVEL PLAN BENEFITS" href="/downloads/ICEALIONTravelInsurancebenefits2023.pdf" target="_blank">
																<span style="display:inline" class="btn btn-block ">Click here</span>
															</a>
            </p>
          </div>
          <div class="input-field col col-md-6 col-12 hide-me" style="padding-top: 5px">
            <label for="pricing" data-trigger="focus" class="active">Select Trip Type&nbsp;&nbsp;</label>
            <i class="fa fa-question-circle" data-toggle="modal" data-target="#plan-modal" aria-hidden="true"></i>
            <div class="form-group label-floating">
              <select id="pricing" name="pricing" class="form-control select2-hidden-accessible" data-select2-id="pricing" tabindex="-1" aria-hidden="true">
                <option value="" selected="" disabled="" data-select2-id="4">Select a Trip Type </option>
                <option value="ANNUALMULTITRIP">Annual Multi-Trip</option>
                <option value="GROUP">Group</option>
                <option value="SINGLETRIP">Single Trip</option>
                <option value="STUDENT">Student</option>
              </select><span class="select2 select2-container select2-container--default" dir="ltr" data-select2-id="3" style="width: auto;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
                    aria-haspopup="true" aria-expanded="false" tabindex="0" aria-disabled="false" aria-labelledby="select2-pricing-container"><span class="select2-selection__rendered" id="select2-pricing-container" role="textbox" aria-readonly="true"
                      title="Select a Trip Type
																">Select a Trip Type </span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
            </div>
          </div>
          <div id="step-2-trip-days-div-label" class="col-12 init-step-query ">
            <label class="active" style="display: flex;">Select Rate Plan&nbsp;<a id="benefits-link-vw" href="/downloads/ICEALIONTravelInsurancebenefits2023.pdf" target="_blank">
																<i class="fa fa-question-circle  " aria-hidden="true"></i>
																<small>View benefits of each plan</small>
															</a>
            </label>
          </div>
          <div class="input-field col col-md-12 col-12 hide-me" style="padding-top: 5px">
            <label for="ratePlan" class="active">Select Trip Plan</label>
            <div class="form-group label-floating">
              <select id="ratePlan" name="ratePlan" class="form-control select2-hidden-accessible" data-select2-id="ratePlan" tabindex="-1" aria-hidden="true">
                <option value="" selected="" disabled="" data-select2-id="6">Select a Trip Plan </option>
                <option value="BASIC">BASIC</option>
                <option value="COMFORT">COMFORT</option>
                <option value="ELITE">ELITE</option>
                <option value="EUROPE">EUROPE</option>
                <option value="PLATINUM">PLATINUM</option>
              </select><span class="select2 select2-container select2-container--default" dir="ltr" data-select2-id="5" style="width: auto;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
                    aria-haspopup="true" aria-expanded="false" tabindex="0" aria-disabled="false" aria-labelledby="select2-ratePlan-container"><span class="select2-selection__rendered" id="select2-ratePlan-container" role="textbox"
                      aria-readonly="true" title="Select a Trip Plan
																">Select a Trip Plan </span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
            </div>
          </div>
          <div id="step-2-trip-days-div" class="container-fluid">
            <div class="row">
              <div id="europe-plan-div" class="col">
                <button type="button" id="btn-EUROPE-trip" class="waves-effect waves-dark btn btn-block iceagoldbg flight-type onepxborder">
                  <span class="material-symbols-outlined"> approval </span><br><b>EUROPE</b>
                </button>
              </div>
              <div class="col">
                <button type="button" id="btn-BASIC-trip" class="waves-effect waves-dark btn btn-block iceagoldbg flight-type onepxborder">
                  <span class="material-symbols-outlined"> account_balance_wallet </span><br><b>BASIC</b>
                </button>
              </div>
              <div class="col">
                <button type="button" id="btn-COMFORT-trip" class="waves-effect waves-dark btn btn-block iceagoldbg flight-type onepxborder">
                  <span class="material-symbols-outlined"> chair </span><br><b>COMFORT</b>
                </button>
              </div>
              <div class="col">
                <button type="button" id="btn-ELITE-trip" class="waves-effect waves-dark btn btn-block iceagoldbg flight-type onepxborder">
                  <span class="material-symbols-outlined"> pages </span><br><b>ELITE</b>
                </button>
              </div>
              <div class="col">
                <button type="button" id="btn-PLATINUM-trip" class="waves-effect waves-dark btn btn-block iceagoldbg flight-type onepxborder">
                  <span class="material-symbols-outlined"> sports_golf </span><br><b>PLATINUM</b>
                </button>
              </div>
            </div>
          </div>
        </div>
        <div id="results-stp-two" class="row hide-me">
          <div class="row ">
            <div class="col-md-8">
              <div class="col-12 quoteSummary qs">
                <div class="row col-12">
                  <div class="row col-12" style="text-align:center;display: block;">
                    <h5>&nbsp;&nbsp;Quote Summary</h5>
                  </div>
                  <div class="col-lg-6 col-md-6 col-sm-12 dvHolder withBiggerText border-right border-right-resp-hide">
                    <div class=" col-lg-12 col-md-12 col-sm-12 borderfyMe">
                      <div class="SummaryInfotT">
                        <strong class="quotesbtitle">Passengers</strong>
                      </div>
                      <p class="textLeftAlign">
                        <strong class="qotesbLead">Adults:</strong>
                        <span id="QSadults"></span>
                        <br><strong class="qotesbLead">Children:</strong>
                        <span id="QSchildren"></span>
                      </p>
                    </div>
                  </div>
                  <div class="col-lg-6 col-md-6 col-sm-12 dvHolder withBiggerText">
                    <div class="col-lg-12 col-md-12 col-sm-12 borderfyMe">
                      <div class="SummaryInfotT col-lg-12 col-md-12 col-sm-12 ">
                        <strong class="quotesbtitle">Journey</strong>
                      </div>
                      <p class="textLeftAlign">
                        <strong class="qotesbLead">Destination:</strong>
                        <span id="QSdestination"></span>
                        <br><strong class="qotesbLead">Cover period(days):</strong>
                        <span id="tripDays"></span>
                        <br><strong class="qotesbLead">Trip Type:</strong>
                        <span id="tripType"></span>
                        <br><strong class="qotesbLead">Trip Plan:</strong>
                        <span id="tripPlan"></span>
                      </p>
                    </div>
                  </div>
                  <div class="col-lg-12 col-md-12 col-sm-12 dvHolder withBiggerText">
                    <div class="col-lg-12 col-md-12 col-sm-12 borderfyMe">
                      <div class="SummaryInfotT col-lg-12 col-md-12 col-sm-12 centerthis">
                        <strong class="quotesbtitle">Pricing</strong>
                      </div>
                      <p class="textLeftAlign" style="text-align: center; display: block;">
                        <strong class="qotesbLead">Basic Premium:</strong>
                        <span id="basicPremium"></span>
                        <br><strong class="qotesb-covidLead hide-me">Covid Premium:</strong>
                        <span id="basicPremium"></span>
                        <br><strong class="qotesbLead">Levies:</strong>
                        <span id="levyAmount"></span>
                        <br>
                      </p>
                      <div class="total-payable-div">
                        <strong class="qotesbLead">Total Payable:</strong>
                        <p id="amountPayable" class="polite-paragraph"></p>
                        <p class="covid-indicatorr hide-me polite-paragraph hide-me" style="text-align: center;">
                          <small class="super-small-text">inclusive of covid fee</small>
                        </p>
                      </div>
                      <div class="col-md-12  pad-top-fifteen row">
                        <div class="col-md-12 pad-top-fifteen centerthis">
                          <button id="recalculate-button" type="button" class="btn btn-info">Re-calculate</button>
                        </div>
                        <div class="col-md-12 pad-top-fifteen centerthis">
                          <label>
                            <strong class="qotesbLead">Switch currency:</strong> &nbsp; </label>
                          <div class="netliva-switch"><input id="currency-switch-chkbx" type="checkbox" data-active-text="USD" data-passive-text="KSh" netliva-switch="OK" data-size="mini"><label for="currency-switch-chkbx" data-active-text="USD"
                              data-passive-text="KSh" style="width: 4.15em;"></label></div>
                        </div>
                        <div id="broker-quote-download-div" class="col-md-12 col-lg-12 col-sm-12    ">
                          <button class="btn btn-block btn-success" id="brokerPrint" name="brokerPrint" type="button">Get This Quote</button>
                          <a class="btn btn-block btn-success btnprint" href="#" id="printlink" style="display:none;text-align: center;" target="_blank">
																							<span>Click here to print</span>
																						</a>
                        </div>
                      </div>
                      <p></p>
                    </div>
                  </div>
                </div>
              </div>
            </div>
            <div id="benefits-div" class="col-md-4">
              <div class="col col-12" style="display: block; text-align: center;">
                <label for="ratePlan" class="active">Select Extra Benefits Below</label>
                <table class="rwd-table">
                  <tbody>
                    <tr>
                      <th>Select Benefit</th>
                    </tr>
                    <tr id="winter-checkbox-div" class="">
                      <td data-th="Benefit">
                        <div>
                          <input type="checkbox" id="winter-checkbox">
                          <label for="winter-checkbox"> Skiing </label>
                        </div>
                      </td>
                    </tr>
                    <tr>
                      <td data-th="Benefit">
                        <div id="covid-benefit-div">
                          <input type="checkbox" id="covid-checkbox">
                          <label for="covid-checkbox"> Covid Cover <i class="fa fa-question-circle" data-toggle="modal" data-target="#covid-modal" aria-hidden="true"></i>
                          </label>
                        </div>
                      </td>
                    </tr>
                    <tr id="golf-checkbox-div" class="hide-me">
                      <td data-th="Benefit">
                        <div>
                          <input type="checkbox" id="golf-checkbox">
                          <label for="golf-checkbox"> Golf cover <i class="fa fa-question-circle" data-toggle="modal" data-target="#golf-modal" aria-hidden="true"></i>
                          </label>
                        </div>
                      </td>
                    </tr>
                  </tbody>
                </table>
              </div>
            </div>
          </div>
        </div>
        <div class="step-actions">
          <button class="waves-effect waves-dark btn-flat previous-step">
            <i class="material-icons">arrow_upward</i> BACK</button>
          <button id="h82" class="waves-effect waves-dark btn iceagoldbg next-step">
            <i class="material-icons">arrow_downward</i> NEXT</button>
        </div>
      </div>
    </li>
    <li class="step" id="stp3">
      <div data-step-label="Billing Account" class="step-title waves-effect waves-dark"> Step 3</div>
      <div class="step-content" style="padding-top:25px;">
        <input type="hidden" id="useMyAcc" name="useMyAcc" value="0">
        <div class="row" id="stp33">
          <div class="row col-lg-12 col-md-12 col-sm-12 centerfy">
            <div class="col-lg-6 col-md-6 col-sm-6">
              <div class="row guide col-lg-12"><a class="nodecor" href="#" id="sessModallogini" data-toggle="modal" data-target="#sessModal"><h5 class="loginsSignup">LOG IN</h5></a></div>
            </div>
            <div class="col-lg-6 col-md-6 col-sm-6 centerfy lineMe">
              <div class="row guide col-lg-12"><a class="nodecor" href="#" id="sessModalSigni" data-toggle="modal" data-target="#sessModal"><h5 class="loginsSignup">Sign Up</h5></a></div>
            </div>
          </div>
        </div>
        <div class="step-actions">
          <button class="waves-effect waves-dark btn-flat previous-step">
            <i class="material-icons">arrow_upward</i> BACK</button>
          <button id="h83" class="waves-effect waves-dark btn iceagoldbg next-step">
            <i class="material-icons">arrow_downward</i> NEXT</button>
        </div>
      </div>
    </li>
    <li class="step" id="stp4">
      <div data-step-label="Client Information" class="step-title waves-effect waves-dark stp4"> Step 4</div>
      <div class="step-content row col-lg-12">
        <div class="row guide col-lg-12" style="padding-top:5px;"></div>
        <div class="panel panel-default">
          <div class="panel-heading">
            <h6> To edit, click/tap the 'EDIT' button </h6>
          </div>
          <div class="panel-body computedAdlChildDivs"></div>
        </div>
        <div class="step-actions">
          <button class="waves-effect waves-dark btn-flat previous-step">
            <i class="material-icons">arrow_upward</i> BACK</button>
          <button id="h84" class="waves-effect waves-dark btn iceagoldbg next-step">
            <i class="material-icons">arrow_downward</i> NEXT</button>
        </div>
      </div>
    </li>
    <li class="step" id="stp5" data-last="true">
      <div data-step-label="Confirmation" class="step-title waves-effect waves-dark stp5">Step 5 </div>
      <div class="step-content">
        <div class="row col-12" style="color:#fff;">
          <div class="row col-12" style="color:#fff;"> here is your quote summary. Review then click 'Submit' button... <p class="important-notices"></p>
          </div><br>
        </div>
        <div class="mr-1 row col-lg-11 col-md-11 col-sm-11 qsbOTTOM m-l-2">
          <div class=" col-lg-12 col-md-12 col-sm-12" style="text-align:center;">
            <h5 style="color: #fff;">&nbsp;&nbsp; </h5>
          </div>
          <div class=" col-lg-4 col-md-4 dvHolder withBiggerText">
            <div class=" col-lg-12 col-md-12 col-sm-12 borderfyMe">
              <div class="SummaryInfotT col-lg-12 col-md-12 col-sm-12 ">
                <strong class="magnify">Travellers</strong>
              </div>
              <p class="textLeftAlign" id="passangersSummary"></p>
              <div class="SummaryInfotT col-lg-12 col-md-12 col-sm-12 ">
                <strong class="magnify">Rate Plan</strong>
              </div>
              <p class="textLeftAlign" id="passangersRPSummary"></p>
            </div>
          </div>
          <div class=" col-lg-4 col-md-4 dvHolder withBiggerText">
            <div class="col-lg-12 col-md-12 col-sm-12 borderfyMe">
              <div class="SummaryInfotT col-lg-12 col-md-12 col-sm-12 ">
                <strong class="magnify">Trip Info</strong>
              </div>
              <p class="textLeftAlign" id="travelInfoSummary"></p>
            </div>
          </div>
          <div class=" col-lg-4 col-md-4 dvHolder withBiggerText">
            <div class="col-lg-12 col-md-12 col-sm-12 borderfyMe">
              <div class="SummaryInfotT col-lg-12 col-md-12 col-sm-12 ">
                <strong class="magnify">Pricing</strong>
              </div>
              <p class="textLeftAlign" id="pricingSummary"></p>
            </div>
          </div>
          <div class="col-md-12">
            <div class="col-md-12"> DECLARATION(made by the policy holder on behalf of all the persons insured on this policy):I am not aware of any circumstances likely to lead to the cancellation of the journey. Nor have i withheld any information
              likely to affect the acceptance of this insurance and i will notify the Company of any change in circumstances or health occurring prior to departure. I declare that all persons are in good state of health and fit to travel. I accept
              the levels of cover chosen subject to terms and conditions of the policy wording. </div>
            <input type="checkbox" id="acceptance" name="acceptance" value="true"> <label class="acceptance-label" for="acceptance">I declare the above statements are true and accept terms and conditions.</label><br>
          </div>
          <div id="entered_data_divs" class=" col-lg-12 col-md-12 row entered_data_divs borderfyMe"></div>
        </div>
        <div class=" col-lg-12 col-md-12 col-sm-12 dvHolder withBiggerText documentslinksholder hideMe">
          <div class="col-lg-12 col-md-12 col-sm-12 borderfyMe">
            <div class="SummaryInfotT col-lg-12 col-md-12 col-sm-12 ">
              <strong class="magnify">Get Travel Documents</strong>
            </div>
            <div class="documentlinks"></div>
          </div>
        </div>
        <div class="step-actions">
          <button class="waves-effect waves-dark btn iceagoldbg" id="quotefinisher" type="submit">Submit</button>
        </div>
      </div>
    </li>
  </ul>
</form>

#

<form action="#" autocomplete="off" siq_id="autopick_7436">
  <div class="input-field modalinput col col-lg-12 col-md-12 col-sm-12">
    <div class="input-group">
      <label>Email</label>
      <div class="input-group show_hide_password"></div>
      <input name="modalemailLogin" id="modalemailLogin" type="email" class="form-control" placeholder="Your Email">
      <div class="input-group-append">
        <span class="input-group-text">@</span>
      </div>
    </div>
  </div>
  <div class="input-field modalinput col col-lg-12 col-md-12 col-sm-12">
    <div class="form-group">
      <label>Password</label>
      <div class="input-group show_hide_password passparo">
        <input class="form-control passfield" name="modalpsLogin" id="modalpsLogin" type="password" placeholder="password">
        <div class="input-group-append">
          <span class="input-group-text"><a href="#"><i class="fa fa-eye-slash showlabel" aria-hidden="true"></i></a></span>
        </div>
      </div>
    </div>
  </div>
  <div class="control-group">
    <label class="control-label" for="signin"></label>
    <div class="controls">
      <button type="submit" id="modalsignin" name="signin" class="btn btn-block"> LogIn </button>
    </div>
  </div>
</form>

#

<form action="#" autocomplete="off" siq_id="autopick_2722">
  <div class="input-field doubleSplit modalinput col-md-12">
    <p id="registration-messages" class="server-feedback"></p>
    <div class="input-field modalinput col col-lg-12 col-md-12 col-sm-12">
      <div class="input-group">
        <label>First Name</label>
        <div class="input-group show_hide_password"></div>
        <input name="modaluserNameSignUp" id="modaluserNameSignUp" type="text" class="form-control" placeholder="Your First name">
        <div class="input-group-append">
          <span class="input-group-text"><i class="fa fa-user" aria-hidden="true"></i></span>
        </div>
      </div>
    </div>
    <div class="input-field modalinput col col-lg-12 col-md-12 col-sm-12">
      <div class="input-group">
        <label>Last Name</label>
        <div class="input-group show_hide_password"></div>
        <input name="modaluserSurNameSignUp" id="modaluserSurNameSignUp" type="text" class="form-control" placeholder="Your last name">
        <div class="input-group-append">
          <span class="input-group-text"><i class="fa fa-user" aria-hidden="true"></i></span>
        </div>
      </div>
    </div>
    <div class="input-field modalinput col col-lg-12 col-md-12 col-sm-12">
      <div class="input-group">
        <label>Email</label>
        <div class="input-group show_hide_password"></div>
        <input name="modalusermailSignUp" id="modalusermailSignUp" type="email" class="form-control" placeholder="Your Email">
        <div class="input-group-append">
          <span class="input-group-text">@</span>
        </div>
      </div>
    </div>
    <div class="input-field modalinput col col-lg-12 col-md-12 col-sm-12">
      <div class="form-group">
        <label>Mobile<small> (Format:256781234567)</small></label>
        <div class="input-group show_hide_password passparo">
          <input class="form-control" name="modaluserphoneSignUp" id="modaluserphoneSignUp" type="number" placeholder="256781234567">
          <div class="input-group-append">
            <span class="input-group-text"><a href="#"><i class="fa fa-phone showlabel" aria-hidden="true"></i></a></span>
          </div>
        </div>
      </div>
    </div>
    <div class="input-field modalinput col col-lg-12 col-md-12 col-sm-12">
      <div class="form-group">
        <label>Enter Password</label>
        <div class="input-group show_hide_password passparo">
          <input class="form-control passfield" name="modaluserpsSignUp1" id="modaluserpsSignUp1" type="password" placeholder="password">
          <div class="input-group-append">
            <span class="input-group-text"><a href="#"><i class="fa fa-eye-slash showlabel" aria-hidden="true"></i></a></span>
          </div>
        </div>
      </div>
    </div>
  </div>
  <div class="control-group">
    <label class="control-label" for="confirmsignup"></label>
    <div class="controls">
      <button type="submit" id="modalconfirmsignup" name="confirmsignup" class="btn btn-block"> Register </button>
    </div>
    <div id="progress" class="col col-lg-12 col-md-12 col-sm-12">
      <div id="progress-bar"></div>
    </div>
  </div>
</form>

<form siq_id="autopick_2334">
  <div class="input-field modalinput col col-lg-12 col-md-12 col-sm-12">
    <div class="input-group">
      <label>Email</label>
      <div class="input-group show_hide_password"></div>
      <input name="emailResett" id="emailReset" type="email" class="form-control" placeholder="Your Email">
      <div class="input-group-append">
        <span class="input-group-text">@</span>
      </div>
    </div>
  </div>
  <div class="control-group">
    <label class="control-label" for="confirmsignup"></label>
    <div class="controls">
      <button type="submit" id="confirmreset" name="confirmreset" class="btn btn-block"> Reset Password </button>
    </div>
  </div>
</form>

#

<form action="#" autocomplete="off" siq_id="autopick_8195">
  <div class="input-field modalinput col col-lg-12 col-md-12 col-sm-12">
    <div class="form-group">
      <label>Current Password</label>
      <div class="input-group show_hide_password passparo">
        <input class="form-control passfield" id="currentpassword" name="currentpassword" type="password" placeholder="password">
        <div class="input-group-append">
          <span class="input-group-text"><a href="#"><i class="fa fa-eye-slash showlabel" aria-hidden="true"></i></a></span>
        </div>
      </div>
    </div>
  </div>
  <div class="input-field modalinput col col-lg-12 col-md-12 col-sm-12">
    <div class="form-group">
      <label>New Password</label>
      <div class="input-group show_hide_password passparo">
        <input class="form-control passfield" id="newpassword" name="newpassword" type="password" placeholder="password">
        <div class="input-group-append">
          <span class="input-group-text"><a href="#"><i class="fa fa-eye-slash showlabel" aria-hidden="true"></i></a></span>
        </div>
      </div>
    </div>
  </div>
  <div class="input-field modalinput col col-lg-12 col-md-12 col-sm-12">
    <div class="form-group">
      <label>Confirm Password</label>
      <div class="input-group show_hide_password passparo">
        <input class="form-control passfield" id="confirmps" name="confirmps" type="password" placeholder="password">
        <div class="input-group-append">
          <span class="input-group-text"><a href="#"><i class="fa fa-eye-slash showlabel" aria-hidden="true"></i></a></span>
        </div>
      </div>
    </div>
  </div>
  <div class="control-group">
    <label class="control-label" for="signin"></label>
    <div class="controls">
      <button type="submit" id="submituserprofile" class="btn btn-block"> Update Password </button>
    </div>
  </div>
</form>

Text Content

 * Broker Profile
 * Retail Profile
 * Global
   * Global
   * Kenya

 * 
 * 

ICEA LION Travel Insurance Portal
 * Buy Insurance
 * My Purchases
 * Corporate
   Corporate Accounts Make Corporate Booking View Corporate Bookings

 * Log In
 * 

 * Step 1
   Please select your travel type
   
   flight_takeoff
   Out-bound Travel
   If travelling out of East Africa
   flight_land
   In-bound Travel
   If travelling into East Africa
   Please select your trip type   
   airplanemode_active
   Single Trip
   date_range
   Annual Multi-Trip
   group_add
   Group
   school
   Student
   Please select the maximum number of days per any one trip you will be
   travelling within the year.   
   calendar_today
   MAX 45 DAYS
   event
   MAX 60 DAYS
   event_note
   MAX 90 DAYS
   Number of Adults
   
   Number of Children
   
   Reason for Travel Select reason for travel LeisureBusinessStudyMedicalSelect
   reason for travel
   Traveller Nationality Select traveller nationality Aland
   IslandAlbanianAlgerianAmerican
   SamoanAndorranAngolanAnguillanAntarcticAntiguan or
   BarbudanArgentineArmenianArubanAustralianAustrianAzerbaijani,
   AzeriBahamianBahrainiBangladeshiBarbadianBelarusianBelgianBelizeanBeninese,
   BeninoisBermudian, BermudanBhutaneseBolivianBonaireBosnian or
   HerzegovinianMotswana, BotswananBouvet
   IslandBrazilianBIOTBruneianBulgarianBurkinabéBurundianCabo
   VerdeanCambodianCameroonianCanadianCaymanianCentral
   AfricanChadianChileanChineseChristmas IslandCocos IslandColombianComoran,
   ComorianCongoleseCongoleseCook IslandCosta
   RicanIvorianCroatianCubanCuraçaoanCypriotCzechDanishDjiboutianDominicanDominicanEcuadorianEgyptianSalvadoranEquatorial
   Guinean, EquatoguineanEritreanEstonianEthiopianFalkland
   IslandFaroeseFijianFinnishFrenchFrench GuianeseFrench PolynesianFrench
   Southern TerritoriesGaboneseGambianGeorgianGermanGhanaianGibraltarGreek,
   HellenicGreenlandicGrenadianGuadeloupeGuamanian, GuambatGuatemalanChannel
   IslandGuineanBissau-GuineanGuyaneseHaitianHeard Island or McDonald
   IslandsVaticanHonduranHong Kong, Hong KongeseHungarian,
   MagyarIcelandicIndianIndonesianIraqiIrishManxIsraeliItalianJamaicanJapaneseChannel
   IslandJordanianKazakhstani, KazakhKenyanI-KiribatiNorth KoreanSouth
   KoreanKuwaitiKyrgyzstani, Kyrgyz, Kirgiz, KirghizLao,
   LaotianLatvianLebaneseBasothoLiberianLibyanLiechtensteinLithuanianLuxembourg,
   LuxembourgishMacanese,
   ChineseMacedonianMalagasyMalawianMalaysianMaldivianMalian,
   MalineseMalteseMarshalleseMartiniquais,
   MartinicanMauritanianMauritianMahoranMexicanMicronesianMoldovanMonégasque,
   MonacanMongolianMontenegrinMontserratianMoroccanMozambicanBurmeseNamibianNauruanNepali,
   NepaleseDutch, NetherlandicNew CaledonianNew Zealand,
   NZNicaraguanNigerienNigerianNiueanNorfolk IslandNorthern
   MariananNorwegianOmaniPalauanPalestinianPanamanianPapua New Guinean,
   PapuanParaguayanPeruvianPhilippine, FilipinoPitcairn
   IslandPolishPortuguesePuerto RicanQatariRéunionese,
   RéunionnaisRomanianRussianRwandanBarthélemoisSaint HelenianKittitian or
   NevisianSaint LucianSaint-MartinoiseSaint-Pierrais or MiquelonnaisSaint
   Vincentian, VincentianSamoanSammarineseSão ToméanSaudi, Saudi
   ArabianSenegaleseSerbianSeychelloisSierra LeoneanSingaporeanSint
   MaartenSlovakSlovenian, SloveneSolomon IslandSomali, SomalianSouth
   AfricanSouth Georgia or South Sandwich IslandsSouth SudaneseSpanishSri
   LankanSudaneseSurinameseSvalbardSwaziSwedishSwissChinese,
   TaiwaneseTajikistaniTanzanianThaiTimoreseTogoleseTokelauanTonganTrinidadian
   or TobagonianTunisianTurkishTurkmenTurks and Caicos
   IslandTuvaluanUgandanUkrainianEmirati, Emirian, EmiriBritish,
   UKAmericanAmericanUruguayanUzbekistani, UzbekNi-Vanuatu,
   VanuatuanVenezuelanVietnameseBritish Virgin IslandU.S. Virgin IslandWallis
   and Futuna, Wallisian or FutunanSahrawi, Sahrawian,
   SahraouianYemeniZambianZimbabweanSelect traveller nationality
   Country of Departure Select country of departure SerbiaAlbaniaAlgeriaAmerican
   SamoaAndorraAngolaAnguillaAntarcticaAntigua and
   BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia
   and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean
   TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape
   VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas
   IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta
   RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican
   RepublicEast TimorEcuadorEgyptEl SalvadorEnglandEquatorial
   GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFiji
   IslandsFinlandFranceFrench GuianaFrench PolynesiaFrench Southern
   territoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard
   Island and McDonald IslandsHoly See (Vatican City State)HondurasHong
   KongHungaryIcelandIndiaIndonesiaIrelandIsraelItalyIvory
   CoastJamaicaJapanJordanKazakstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyan
   Arab
   JamahiriyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall
   IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States
   ofMoldovaMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNetherlandsNetherlands
   AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth
   KoreaNorthern IrelandNorthern Mariana
   IslandsNorwayOmanPalauPalestinePanamaPapua New
   GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto
   RicoQatarReunionRomaniaRussian FederationRwandaSaint HelenaSaint Kitts and
   NevisSaint LuciaSaint Pierre and MiquelonSaint Vincent and the
   GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi
   ArabiaScotlandSenegalSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon
   IslandsSouth AfricaSouth Georgia and the South Sandwich IslandsSouth
   KoreaSouth SudanSpainSriLankaSudanSurinameSvalbard and Jan
   MayenSwazilandSwedenSwitzerlandTajikistanTanzaniaThailandThe Democratic
   Republic of CongoTogoTokelauTongaTrinidad and
   TobagoTunisiaTurkeyTurkmenistanTurks and Caicos
   IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of
   AmericaUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin
   Islands, U.S.WalesWallis and FutunaWestern
   SaharaYemenYugoslaviaZambiaZimbabweSelect country of departure
   Destination Select destination SerbiaAlbaniaAlgeriaAmerican
   SamoaAndorraAngolaAnguillaAntarcticaAntigua and
   BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia
   and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean
   TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape
   VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas
   IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta
   RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican
   RepublicEast TimorEcuadorEgyptEl SalvadorEnglandEquatorial
   GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFiji
   IslandsFinlandFranceFrench GuianaFrench PolynesiaFrench Southern
   territoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard
   Island and McDonald IslandsHoly See (Vatican City State)HondurasHong
   KongHungaryIcelandIndiaIndonesiaIrelandIsraelItalyIvory
   CoastJamaicaJapanJordanKazakstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyan
   Arab
   JamahiriyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall
   IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States
   ofMoldovaMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNetherlandsNetherlands
   AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth
   KoreaNorthern IrelandNorthern Mariana
   IslandsNorwayOmanPalauPalestinePanamaPapua New
   GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto
   RicoQatarReunionRomaniaRussian FederationRwandaSaint HelenaSaint Kitts and
   NevisSaint LuciaSaint Pierre and MiquelonSaint Vincent and the
   GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi
   ArabiaScotlandSenegalSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon
   IslandsSouth AfricaSouth Georgia and the South Sandwich IslandsSouth
   KoreaSouth SudanSpainSriLankaSudanSurinameSvalbard and Jan
   MayenSwazilandSwedenSwitzerlandTajikistanTanzaniaThailandThe Democratic
   Republic of CongoTogoTokelauTongaTrinidad and
   TobagoTunisiaTurkeyTurkmenistanTurks and Caicos
   IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of
   AmericaUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin
   Islands, U.S.WalesWallis and FutunaWestern
   SaharaYemenYugoslaviaZambiaZimbabwe
    * 
   
   Date Of Departure
   Return Date
   arrow_downward NEXT
 * Step 2
   
   View plan benefits. Click here
   
   Select Trip Type  
   Select a Trip Type Annual Multi-TripGroupSingle TripStudentSelect a Trip Type
   Select Rate Plan  View benefits of each plan
   Select Trip Plan
   Select a Trip Plan BASICCOMFORTELITEEUROPEPLATINUMSelect a Trip Plan
   approval
   EUROPE
   account_balance_wallet
   BASIC
   chair
   COMFORT
   pages
   ELITE
   sports_golf
   PLATINUM
   
     QUOTE SUMMARY
   
   Passengers
   
   Adults:
   Children:
   
   Journey
   
   Destination:
   Cover period(days):
   Trip Type:
   Trip Plan:
   
   Pricing
   
   Basic Premium:
   Covid Premium:
   Levies:
   
   
   Total Payable:
   
   
   
   inclusive of covid fee
   
   Re-calculate
   Switch currency:  
   
   Get This Quote Click here to print
   
   
   
   Select Extra Benefits Below
   
   Select Benefit
   Skiing
   Covid Cover
   Golf cover
   
   arrow_upward BACK arrow_downward NEXT
 * Step 3
   
   LOG IN
   
   SIGN UP
   
   arrow_upward BACK arrow_downward NEXT
 * Step 4
   
   TO EDIT, CLICK/TAP THE 'EDIT' BUTTON
   
   
   arrow_upward BACK arrow_downward NEXT
 * Step 5
   here is your quote summary. Review then click 'Submit' button...
   
   
   
   
     
   
   Travellers
   
   
   
   Rate Plan
   
   
   
   Trip Info
   
   
   
   Pricing
   
   
   
   DECLARATION(made by the policy holder on behalf of all the persons insured on
   this policy):I am not aware of any circumstances likely to lead to the
   cancellation of the journey. Nor have i withheld any information likely to
   affect the acceptance of this insurance and i will notify the Company of any
   change in circumstances or health occurring prior to departure. I declare
   that all persons are in good state of health and fit to travel. I accept the
   levels of cover chosen subject to terms and conditions of the policy wording.
   I declare the above statements are true and accept terms and conditions.
   
   
   Get Travel Documents
   
   Submit

Should you require any assistance, you can get in touch with Support Team using
the live chat widget

View Bookings

REPLACEMENT OF STOLEN OR LOST LUGGAGE

Unfortunately, losing your luggage and individual items, or having them stolen,
is not uncommon while away from home.

CANCELLATION AND RESCHEDULED FLIGHTS

Cancelled or rescheduled flights can wreak havoc

SUPPORT IN A MEDICAL EMERGENCYS

Should you experience a medical event that requires hospitalisation

ABOUT US

Don’t travel the world without it! Whether you’re a regular jetsetter or you’ve
saved up for a once-in-a-lifetime holiday, be sure to sort out your travellers
insurance before you go on your trip. You might not want to think about it, but
things can go wrong. The cost of your insurance will depend on a number of
factors such as your age, where you’re travelling to, how long you’re staying,
etc.

RELATED LINKS

 * Broker Portal

OTHER PRODUCTS

 * CANCER PORTAL
   
   Get cancer cover

 * MOTOR PORTAL
   
   Get motor cover

OUR CONTACTS

ICEA LION Centre.
Riverside Park, Chiromo Road, Westlands
Nairobi, Kenya

Phone: +254 719 071999
Email: Contact Centre

Copyright © 2019 ICEA LION TRAVEL. All rights reserved.
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CONFIRM LOGOUT

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Certificate
Policy Document
Embassy Letter
Invoice
Covid Letter

PASSWORD GUIDE

THINGS TO INCLUDE

 1. At least eight characters.
 2. One or more of each of the following
     * lower-case letter
     * upper-case letter
     * number
     * Special charachter like *&!^%$ mark

 3. Use look-alike charachters
     * O for Open VS 0 the number
     * l for lowercase 'L' VS L 'L' in caps
     * $ for US Dolar VS S the letter

THINGS TO AVOID

 1. Words you can find in the dictionary.
 2. Passwords shown when you lookup 'example of strong passwords.'
 3. Personal information, such as names and birth dates
 4. Keyboard patterns and sequences, like qwerty or 12345

KEEP YOUR PASSWORD SECRET Close

PASSWORD UPDATE


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View Certificate
Embassy Letter



TRIP TYPE DESCRIPTION

1. Single Trip Cover: This is a one-off cover that covers you when you depart
your country of residence or home country and ends when you return to your home
country or country of residence.



2. Annual Multi-Trip Cover: This cover is ideal for frequent travelers. It
covers you for one year, so you do not have to buy travel insurance each time
you travel abroad. You can travel as many times as you like, within year. This
cover is available in two options: all countries including USA and Canada or all
countries excluding USA and Canada

3. Group Cover: This cover is purchased by a group of not less than ten people
sharing the same itinerary from the travel dates to the country(ies) of travel.

4. Student Cover: This covers students traveling abroad for studies. The maximum
age is 40 years and can be purchased for a maximum period of one year.

GOLF COVER

1. Cover for accidental loss, theft, or damage to your golf equipment. Refer to
the policy document for more information.



COVID COVER

1.Applicable for persons under 70 years and below.



SKIING COVER

1. .




PAY-PHONE CONFIRMATION



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