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 NameLast NameEmail* Do you want us to call you? (xxx)xxx-xxxxAre you part of a team? (Which?)Organization nameWhere is your team going?Have we helped you/your group before?YesNoDon't knowName 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? MM DD YYYY Travel date-Return? MM DD YYYY Deductible Preference$100$250$500$1000$1500$2500$5000Need rider for extreme sports?YesNoAbout your team/group:The number of participants (0, 3, ... , qty) on your team, based on their age.Age of participants: 0-17Age of participants: 18-29Age of participants: 30-39Age of participants: 40-49Age of participants: 50-59Age of participants: 60-69Age of participants: 70-79Age of participants: 80-aboveComments?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.CommentsThis field is for validation purposes and should be left unchanged.