13a32acd95f5.quickpassports.org
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Submission: On June 17 via api from US — Scanned from DE
Submission: On June 17 via api from US — Scanned from DE
Form analysis 1 forms found in the DOM
<form class="doc">
<div class="doc-container">
<div class="doc-step">
<div>
<div data-testid="name" class=" e-text input-full"><label for="name" class="inputLabel">Full Name*</label><input id="name" data-qa="text-name" aria-label="name" name="name" placeholder="First name and surname" class="e-text-input" type="text"
value="">
<div class="e-text-error">Please enter the full name.</div>
</div>
<div data-testid="tours" class=" e-select input-full"><label for="tours" class="inputLabel">Cover type</label><select id="tours" data-qa="select-tours" class="
e-select-input
grey-option
" name="tours">
<option value="" disabled="" selected="">Select an option</option>
<option class="regular-options" value="Basic cover">Basic cover</option>
<option class="regular-options" value="Classic cover">Classic cover</option>
<option class="regular-options" value="Premium cover">Premium cover</option>
</select>
<div class="e-text-error">Select a Cover type.</div>
</div>
</div>
</div>
<div class="doc-step">
<div>
<div data-testid="email" class=" e-text input-full"><label for="email" class="inputLabel">Email*</label><input id="email" data-qa="text-email" aria-label="email" name="email" placeholder="Email address" class="e-text-input" type="text"
value="">
<div class="e-text-error">Error in email field.</div>
</div>
<div data-testid="travelers" class=" e-select input-full"><label for="travelers" class="inputLabel">Number of travelers</label><select id="travelers" data-qa="select-travelers" class="
e-select-input
regular-options
" name="travelers">
<option value="" disabled="">Select an option</option>
<option class="regular-options" value="1">1</option>
<option class="regular-options" value="2" selected="">2</option>
<option class="regular-options" value="3">3</option>
<option class="regular-options" value="4">4</option>
<option class="regular-options" value="5">5</option>
<option class="regular-options" value="6">6</option>
<option class="regular-options" value="7">7</option>
<option class="regular-options" value="8">8</option>
<option class="regular-options" value="9">9</option>
<option class="regular-options" value="10">10</option>
</select>
<div class="e-text-error">Select a number of travelers.</div>
</div>
</div>
</div>
<div class="doc-step">
<div>
<div data-qa="date-dateTrip" data-testid="dateTrip" class=" e-text e-date input-full"><label for="dateTrip" class="inputLabel">Departure date</label>
<div class="SingleDatePicker SingleDatePicker_1">
<div>
<div class="SingleDatePickerInput SingleDatePickerInput_1 SingleDatePickerInput__withBorder SingleDatePickerInput__withBorder_2 SingleDatePickerInput__showClearDate SingleDatePickerInput__showClearDate_3">
<div class="DateInput DateInput_1"><input class="DateInput_input DateInput_input_1 DateInput_input__readOnly DateInput_input__readOnly_2" aria-label="Please select a date" type="text" id="dateTrip" name="dateTrip"
placeholder="Please select a date" autocomplete="off" readonly="" aria-describedby="DateInput__screen-reader-message-dateTrip" value="">
<p class="DateInput_screenReaderMessage DateInput_screenReaderMessage_1" id="DateInput__screen-reader-message-dateTrip">Navigate forward to interact with the calendar and select a date. Press the question mark key to get the
keyboard shortcuts for changing dates.</p>
</div><button
class="SingleDatePickerInput_clearDate SingleDatePickerInput_clearDate_1 SingleDatePickerInput_clearDate__default SingleDatePickerInput_clearDate__default_2 SingleDatePickerInput_clearDate__hide SingleDatePickerInput_clearDate__hide_3"
type="button" aria-label="Clear Date"><svg class="SingleDatePickerInput_clearDate_svg SingleDatePickerInput_clearDate_svg_1" focusable="false" viewBox="0 0 12 12">
<path fill-rule="evenodd"
d="M11.53.47a.75.75 0 0 0-1.061 0l-4.47 4.47L1.529.47A.75.75 0 1 0 .468 1.531l4.47 4.47-4.47 4.47a.75.75 0 1 0 1.061 1.061l4.47-4.47 4.47 4.47a.75.75 0 1 0 1.061-1.061l-4.47-4.47 4.47-4.47a.75.75 0 0 0 0-1.061z"></path>
</svg></button>
</div>
</div>
</div>
<div class="e-text-error">Please select a date.</div>
</div>
</div>
</div>
<div class="doc-step">
<div>
<div data-qa="date-dateReturn" data-testid="dateReturn" class=" e-text e-date input-full"><label for="dateReturn" class="inputLabel">Return date</label>
<div class="SingleDatePicker SingleDatePicker_1">
<div>
<div class="SingleDatePickerInput SingleDatePickerInput_1 SingleDatePickerInput__withBorder SingleDatePickerInput__withBorder_2 SingleDatePickerInput__showClearDate SingleDatePickerInput__showClearDate_3">
<div class="DateInput DateInput_1"><input class="DateInput_input DateInput_input_1 DateInput_input__readOnly DateInput_input__readOnly_2" aria-label="Please select a date" type="text" id="dateReturn" name="dateReturn"
placeholder="Please select a date" autocomplete="off" readonly="" aria-describedby="DateInput__screen-reader-message-dateReturn" value="">
<p class="DateInput_screenReaderMessage DateInput_screenReaderMessage_1" id="DateInput__screen-reader-message-dateReturn">Navigate forward to interact with the calendar and select a date. Press the question mark key to get the
keyboard shortcuts for changing dates.</p>
</div><button
class="SingleDatePickerInput_clearDate SingleDatePickerInput_clearDate_1 SingleDatePickerInput_clearDate__default SingleDatePickerInput_clearDate__default_2 SingleDatePickerInput_clearDate__hide SingleDatePickerInput_clearDate__hide_3"
type="button" aria-label="Clear Date"><svg class="SingleDatePickerInput_clearDate_svg SingleDatePickerInput_clearDate_svg_1" focusable="false" viewBox="0 0 12 12">
<path fill-rule="evenodd"
d="M11.53.47a.75.75 0 0 0-1.061 0l-4.47 4.47L1.529.47A.75.75 0 1 0 .468 1.531l4.47 4.47-4.47 4.47a.75.75 0 1 0 1.061 1.061l4.47-4.47 4.47 4.47a.75.75 0 1 0 1.061-1.061l-4.47-4.47 4.47-4.47a.75.75 0 0 0 0-1.061z"></path>
</svg></button>
</div>
</div>
</div>
<div class="e-text-error">Please select a date.</div>
</div>
</div>
</div>
<div class="doc-full">
<div>
<div data-testid="message" class=" e-text input-full"><label for="message" class="inputLabel">Additional information*</label><textarea id="message" data-qa="textarea-message" class="e-text-input" name="message"
placeholder="Please add any extra information or questions"></textarea>
<div class="e-text-error">Please fill the message field.</div>
</div>
</div>
</div>
<div class="wrapper buttons_wrapper wrapper--flex"><button type="button" class="button styles-module--button-primary--c829d"><span class="button__text">Send Request</span></button></div>
</div>
</form>Text Content
This website uses its own or third-party cookies to improve your experience and our services, by analyzing your navigation of our website. By clicking Accept or continue browsing, we consider you to have accepted said cookies. To get more info or how to change your privacy settings, see our Privacy Policy. Accept * Protect your trip * Our packages * Right plan * Why Choose us? * About us TRAVEL INSURANCE MADE SIMPLE. Your vacation, covered Contact PROTECT YOUR TRIP, AND YOURSELF When you go on vacation, the last thing you want to deal with is an accident or injury that could be expensive to fix. But if you're traveling outside of your home country, there's a good chance that your regular insurance won't cover you. When you buy travel insurance, you do much more than just protect your investment. By buying the right coverage, you can free yourself to explore more destinations, take up new activities, and discover cultures that are different from your own. With a good travel insurance plan, you're not only protecting yourself against theft, injury and illness, but also freeing yourself to wonder at the world's beauty and diversity. We understand that searching for travel insurance may not be the first thing on your list when planning a trip, but it’s a vital part of a stress-free and safe vacation. If you skip this step, you may end up paying the consequences later on. With the endless number of options out there, it can be daunting and stressful trying to find the right plan that fits with you and your travel plans. Our team of travel experts makes sure that you have the coverage you need for wherever your travels take you, so that you can get out there and see what makes our planet so incredible. You can't help the unexpected from happening. But you can be prepared for it. OUR PACKAGES BASIC COVER Our budget-friendly plan Included: * Trip cancellation— up to 100% of trip cost * Trip interruption— up to 100% of trip cost * Travel delays— up to $500 * Lost or stolen baggage— up to $750 * Baggage delay— up to $300 * Medical expenses— up to $15,000 * Medical evacuation— up to $150,000 GET BASIC COVER CLASSIC COVER Complete travel package Included: * Trip cancellation— up to 100% of trip cost * Trip interruption— up to 100% of trip cost * Travel delays— up to $1000 * Lost or stolen baggage— up to $1000 * Baggage delay— up to $400 * Medical expenses— up to $20,000 * Medical evacuation— up to $300,000 GET CLASSIC COVER PREMIUM COVER Total peace of mind and expert assistance 24/7 Included: * Trip cancellation— up to 100% of trip cost * Trip interruption— up to 100% of trip cost * Travel delays— up to $1000 * Lost or stolen baggage— up to $1000 * Baggage delay— up to $500 * Medical expenses— up to $50,000 * Medical evacuation— up to $500,000 GET PREMIUM COVER WHAT PEOPLE SAY ABOUT US Read some of our testimonials from happy customers "I've worked with many other agencies in the past but nothing compares to the service I receive from this company! They are always on top of their game, always helpful, and always willing to go above and beyond." Rosa - Germany "I am very pleased with the coverage and rate we have on our travel insurance. The process was quick and easy, and they were very helpful. I highly recommend this company to anyone who needs travel insurance." Andrea - Australia "We've been using this company for years, they are very helpful and friendly. We've always had great service when we have needed to file a claim. We highly recommend them." Tony - UK CHOOSE THE RIGHT PLAN FOR YOU Here are some things to consider when deciding what type of coverage is right for you: -What type of trip are you taking? You may want to choose a different plan for an extended road trip than for a short weekend getaway. -Where are you going? Do you have plans to go skydiving or swim with sharks? If so, check to see if those are covered in your policy. (Many insurers won’t cover you!) -How much coverage do you need? If the worst-case scenario happens, will your travel insurance cover it? If not, you might want to look into some add-on policies that make sure you'll never run out of options if something goes wrong. -What kind of activities do you plan on doing while traveling? If you're going to be doing anything remotely extreme (like skiing), then you'll definitely want to make sure that's covered in your policy. But even if you're just planning on a relaxing vacation somewhere sunny, it's always a good idea to double-check the details of your policy anyway. You never know when something unexpected might happen! -Do you need personal liability coverage? This can protect you from any legal fees if someone accuses you of causing them injury (or worse). Of course, this won't protect against your own injuries — but that's where medical coverage comes in handy! -Do you live outside the country? If so, then make sure that any policy covers stays in other countries. Some policies only work within one country or region; others offer global coverage which means they’ll work anywhere! WHY CHOOSE US? We are a team of travel insurance specialists who have been providing tailored travel insurance to our customers for over 30 years. Our goal is to provide a high-quality product at an affordable price, and we believe that the following reasons show why you should choose us for your travel insurance needs. 1) Tailored policies. We don't just hand you a standard policy that might not even cover what you need it to—we talk with you about where you're going, how long your trip will be, and any hobbies or activities you might participate in on your trip. Then, we recommend options for policies that will provide the perfect coverage for your unique situation. 2) Affordable pricing. Unlike many other travel insurance companies, we work with you to ensure that the price of your policy fits into your budget. We work hard to make sure that all of our clients can afford the protection they need while traveling abroad. This way they can focus on enjoying their trips without worrying about the unexpected occuring. 3) A dedicated team of experts ready to serve you. Whether it's advice regarding whether a certain activity is covered, or help contacting a medical provider abroad, we have a team of experts ready to assist you in any way they can. Simple, intuitive information request Easy step-by-step instructions from our experts 24/7 customer support ABOUT US We're an insurance company run by travel enthusiasts, just like you. Everyone on our team knows the frustration of having to cancel a long-awaited trip because of an injury or illness. That's why we created our business—where you can purchase insurance that is tailored to you. Whether you're hiking up a volcano, going on safari, or exploring underwater caves, we've got a policy that's right for you. We understand how important your trip is, and we believe that no one should have to miss out on their dream adventure because something unexpected happens. We want you to be confident knowing that if something were to happen, not only would your health needs be taken care of, but also your financial losses would be covered as much as possible. YOUR JOURNEY STARTS HERE Get in touch with our dedicated team of travel experts to start planning your dream trip. Full Name* Please enter the full name. Cover typeSelect an optionBasic coverClassic coverPremium cover Select a Cover type. Email* Error in email field. Number of travelersSelect an option12345678910 Select a number of travelers. Departure date Navigate forward to interact with the calendar and select a date. Press the question mark key to get the keyboard shortcuts for changing dates. Please select a date. Return date Navigate forward to interact with the calendar and select a date. Press the question mark key to get the keyboard shortcuts for changing dates. Please select a date. Additional information* Please fill the message field. Send Request (203) 483-7422 1022 4th St, Brookville, KS 67425 Follow us © Copyright 2024 Travel Insurance Agency - . All rights reserved. About usTerms and ConditionsPrivacy Policy