Please fill out all the fields. The insurance will be mailed to you to the address you indicate below. Cost of insurance for one person for a period of up to 1 month – $50. The shipping is free!

Important: The name on the credit card should be the same as the name of the insured.

  • Period of Insurance
  • Mailing Address
  • Payment Information
  • Billing address if different
  • This field is for validation purposes and should be left unchanged.