If you need more info - simply click on the  beside the question. |
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Where are you travelling to?
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Is this a one-way trip? |
Yes No
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Final destination |
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Policy start date |
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Policy end date
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Will you be travelling to countries outside of USA & Canada? |
Yes No
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Date arriving in USA or Canada |
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Date leaving USA or Canada |
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If you plan to visit the USA or Canada more than once during your trip, please calculate the total number of days you will be there. Then enter the date leaving USA or Canada as the total number of days from the date arriving.
Eg. You will be in the US from 1st March to 31st March (31 days) and 10th October to 26th October (17 days) = 48 days in total. So you would have a start date of 1st March and an end date of 17th April. Ie 48 days. You will receive your certificate in an email, so simply reply to the email advising the correct dates of travel within USA or Canada and we will endorse the policy accordingly. |
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How many of you to be insured?
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Adults 18 to 55 years inclusive
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Adults 56 to 60 years inclusive
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Adults 61 to 65 years inclusive
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Children up to 18 years in a family group*
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Other children aged up to 18 years
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Are you all permanent residents of Australia? |
Yes No
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Have you all lived in Australia for at least the past 3 months? |
Yes No
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If you have a voucher code enter here |
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Do you want cover for snow sports? |
Yes No
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