Medical Travel | Emergency Medical Evacuation | Hazardous Sports Coverage | Ambulance Service | Hospital Benefits

Serving the World with Low Cost Short Term Medical Travel Insurance and Trip Cancellation Travel Insurance

• Home
• |
• Medical Travel
• |
• Trip Cancellation
• |
• Group Medical
• |
• Multi-Trip Medical
• |
• Evacuation
• |
• Missionary Med
• |
• Travel Links

Providing Travel Protection for your peace of mind Receive personal help with your travel insurance needs... Call 1-800-584-3512 or E-Mail travelinsurance@earthlink.net TravelersMed.com




 

Complete and 'Submit' the form shown below to receive Medical Insurance proposals designed to fit your personal needs for your upcoming golf trip with Sullivan Golf Travel.  All names listed must reside at the same address.  Please note: do not leave any boxes blank that display a small red star.  Instead, insert the word "none".  If you have questions, call 800-584-3512

The low cost "Annual Multi-Trip' plans provide the Medical protection you need for multiple trips outside of your Home Country during the 12 month insured period.

E-mail Address: *

Name & Date of Birth *

Name & Date of Birth

Name & Date of Birth

Name & Date of Birth

Address (Street, City & State) *

Telephone Number (Primary) *

Teephone Number (Cell)

Trip Dates... Depart & Return *

Destination *

Country of Citizenship *

Which type of plan do you prefer ? Single Trip Annual Multi-Trip

Comment6s

* Required

.