Request a Trekking Quote

Your Name*
Your Email Address*
Select Policy Type*
Region of Travel*
Trip Start Date*

DD
MM
YYYY
Trip End Date

DD
MM
YYYY

Leave blank if requesting an annual policy
Are all travellers residents of Australia*
- Yes
- No
Which State do you live in?*
Ages of All Travellers*
Please use a comma to separate the ages. (ie - 20, 35, 50)
Where will you be trekking?*
ie Inca Trail
How many days will you be trekking?*
ie: 12 days
What is the maximum height you will be trekking to?*
ie 5000m
Will you be trekking with a licensed commercial operator?*
- Yes
- No
If yes, please advise the name of the licensed commecial operator and provide details of any health checks required prior to the trek?*
If you do not have a tour operator please enter "N/A"
What experience do you have with trekking?*
ie: Maximum height, duration, destination
Will you be on established / mapped routes?*
- Yes
- No
Will you be using any ropes or climbing equipment?*
- Yes
- No
Have you ever suffered an injury whilst trekking?*
If yes, please provide details
Have you ever suffered altitude sickness?*
If yes, please provide details of where and height
Do you suffer from any pre-existing medical conditions?*
ie Blood Pressure, Cholesterol etc
Have you made any claims in relation to trekking?*
If yes, please advise