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Travel Insurance Help

For Travel Insurance assistance, please complete this form. We will then walk you through the on-line process, or send you a formal quote for a Travel Insurance policy.

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Tour Operator
Name of the Tour Operator you are working with
Email*
Your email address
Address*
Street Address Address Line 2 City State ZIP
Phone*
Persons to be included on the travel insurance policy*
The name, date of birth (mm/dd/yyyy), gender and total non-refundable cost of the trip of each person to be included on the travel insurance policy. The people included on the same policy do not have to be legally related, but do have to reside at the same address, and meet the definition of a domestic partner (see description of coverage). If just two adults are traveling together, this cost should be the same for each. Click the plus sign to add more people.
Name Date of Birth Gender Total Non-Refundable Cost
The primary country you are visiting*
Date you will be leaving home to start your trip*
mm/dd/yyyy
MM slash DD slash YYYY
Date you are scheduled to return home*
mm/dd/yyyy
MM slash DD slash YYYY
Date you made your first payment for any portion of your trip*
mm/dd/yyyy
MM slash DD slash YYYY
Date you are scheduled to make your final payment*
mm/dd/yyyy
MM slash DD slash YYYY
Would you like someone to call to walk you through the process?*
Comments
This field is for validation purposes and should be left unchanged.

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African Safaris and Charitable Giving (Safari Samaritan) is a "for profit" company. All the money we make is from the sale of travel insurance. We make no income on the sale of solar powered lamps, nor do we receive any fees from the manufacturer or distributer of the lamps.

Because we are "for profit", none of the items we suggest you donate while on safari should be considered a tax deductible item, including the solar powered lamps. However, because we are "for Profit”, and make all our money from travel insurance, you can be sure that 100% of the money you donate for solar powered lamps goes to the purchase of the lamps.

Name	Date of Birth	Gender	Total Non-Refundable Cost