Group Travel Insurance Application

Please complete this form to obtain a quote for Go Insurance Group Travel Insurance.

Contact Name*

First

Last
Contact Email*
Destination*
Tell us where your group is heading to and what activities will be undertaken.

ie School travelling to Japan and will be skiing and sightseeing.
Start Date*
What day should the policy commence?
End Date*
When does the group arrive home?
Number of travellers under 18 years?*
Number of travellers aged 18 - 60 years?*
Number of travellers over 60 years?*

Just Travel Insurance