Pg 2 of 2: This is it! To offer your team/group the best price and the most accurate quotes for your trip/project, carriers need the following information. (You can also Skype us at 'goodneighborinsurance' or speak with us at 480-813-9100 or toll-free 866-636-9100 for an immediate answer!) Did you know: You can get exact quotes from the links at https://www.gninsurance.com/short-term-team/ and even save your progress or bookmark a particular quote page? We also offer contracted plans/rates for groups that travel overseas regularly/every year, as well as a free branded webpage where your participants can sign up for themselves for specific plan(s) of your choice. Tell us a little more about your team/group:First Name Last Name Email* Do you want us to call you? (xxx)xxx-xxxx Are you part of a team? (Which?) Organization name Where is your team going? Have we helped you/your group before? Yes No Don't know Name of the Point of Contact/Team Leader? Total value of trip? The non-refundable, prepaid costs of tripRequire Trip Cancellation?* Desired length of coverage? Travel date-Start? Month Day Year Travel date-Return? Month Day Year Deductible Preference$100$250$500$1000$1500$2500$5000Need rider for extreme sports? Yes No About your team/group:The number of participants (0, 3, ... , qty) on your team, based on their age.Age of participants: 0-17 Age of participants: 18-29 Age of participants: 30-39 Age of participants: 40-49 Age of participants: 50-59 Age of participants: 60-69 Age of participants: 70-79 Age of participants: 80-above Comments?We're open 8:00-17:00 MST Monday-Friday. On work days we provide quotes within 24 hours, and usually much sooner than that. If your request is submitted over the weekend, we will get a quote to you before the end of the work day on Monday.NameThis field is for validation purposes and should be left unchanged.