GNI P2 Short-Term Travel Pg 2 of 2: This is it! To offer you the best price available and the most accurate quotes on short-term plans, carriers request this information from us. (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!) What else can you tell us?First Name Last Name Email If living in the USA: Your ZIP code Are you... Male Female Your Age Are You a US Citizen? Yes No Country of Residence Spouse's Age Spouse's Citizenship Children on policy? Yes No Children's Ages Where are you going? Desired length of coverage? Date of departure? Month Day Year Return Date? Month Day Year Comments?CommentsThis field is for validation purposes and should be left unchanged.