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https://tripinsurancestore.com/get-a-quote.php

html tripinsurancestore.com collected 2026-10-02 07:50:56 UTC 26,523 bytes, 419 lines download raw bytes

1<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
2<html>
3<head>
4<title>Instant Side-by-Side Travel Insurance Quotes From TripInsuranceStore.com</title>
5<link rel="STYLESHEET" href="style1.css" TYPE="text/css" />
6</head>
7<style>
8.travel_dates{
9	display:none;
10}
11</style>
12<script>
vendor: 343 bytes, lines 12-17
12
13  (function(i,s,o,g,r,a,m){i['GoogleAnalyticsObject']=r;i[r]=i[r]||function(){
14  (i[r].q=i[r].q||[]).push(arguments)},i[r].l=1*new Date();a=s.createElement(o),
15  m=s.getElementsByTagName(o)[0];a.async=1;a.src=g;m.parentNode.insertBefore(a,m)
16  })(window,document,'script','//www.google-analytics.com/analytics.js','ga');
17  ga('create', '
17UA-50587307-1
vendor: 33 bytes, lines 17-18
17', 'tripinsurancestore.com');
18  
18ga('require', 'displayfeatures');
19  ga('send', 'pageview');
20</script>
vendor: 2 bytes, line 20
20
21<script language="JavaScript" type="text/javascript" src="../jsfunctions.js"></script>
vendor: 2 bytes, line 21
21
22<script type="text/javascript" src="../prototype.js"></script>
vendor: 2 bytes, line 22
22
23<script type="text/javascript" src="../js/1.13.3/jquery.js"></script>
vendor: 2 bytes, line 23
23
24<script type="text/javascript" src="../js/1.13.3/jquery-ui.min.js"></script>
vendor: 2 bytes, line 24
24
25<script type="text/javascript" src="../js/date_picker.js?t=1702537827716"></script>
25
26<link rel="stylesheet" type="text/css" href="../js/1.13.3/jquery-ui.min.css" />
27	<style type='text/css'>
28			.diags { display: none; }	
29			.state_pop_selected {
30				background-color: #DAF7A6;
31			}	
32			.state_pop{
33				text-decoration:none;
34			}		
35			div.ui-dialog-titlebar{
36				width: 93%;
37			}			
38			div.ui-datepicker{
39				font-size:14px;
40			}
41			div.ui-datepicker-title{
42				width: 75%;
43			}
44			.rmage{
45				background-image: url("css/images/minus2.png");
46				background-repeat: no-repeat;
47				background-position: left;
48				border:none;
49				background-color: #FFFFFF;
50				height:20px;
51				width:20px;
52				margin-top: 2px;
53				cursor:pointer;
54			}
55			.addperson{
56				background-image: url("css/images/plus2.png");
57				background-repeat: no-repeat;
58				background-position: left;
59				border:none;
60				background-color: #FFFFFF;
61				height:20px;
62				width:20px;
63				margin-top: 2px;
64				cursor:pointer;
65			}
66		</style>
67<script language="javascript" type="text/javascript">
68jQuery.noConflict();
69window.onload=function(){
70	//$('travel_dates').hide();
71	// regen_1();
72	// load_state_drop_down();
73}
74function toggle_travel_dates()
75{
76	$('travel_dates').toggle();
77}
78function regen_1()
79{
80     var url = 'regen-states.php';
81     //var pars = 'country='+escape($F('res_usa_canada_1'));
82		 var pars = 'country=USA';
83     var target = 'showhere';
84     var myAjax = new Ajax.Updater(target, url, {method: 'get', parameters: pars});
85}
86function regen_2()
87{
88     var url = 'regen-states.php';
89     //var pars = 'country='+escape($F('res_usa_canada_2'));
90		 var pars = 'country=USA';
91     var target = 'showhere';
92     var myAjax = new Ajax.Updater(target, url, {method: 'get', parameters: pars});
93}
94function regen_3()
95{
96     var url = 'regen-states.php';
97    // var pars = 'country=Outside_USA_and_Canada';
98		var pars = 'country=USA';
99     var target = 'showhere';
100     var myAjax = new Ajax.Updater(target, url, {method: 'get', parameters: pars, onSuccess: assign_state});
101}
102function assign_state()
103{
104	var myAjax= new Ajax.Updater('', 'assign-state.php', {method:'get', parameters:'state='+$F('state')});
105}
106function empty_sessions()
107{
108	location.href="get-a-quote-empty-session.php?goback=0";
109	// regen_1();
110	// load_state_drop_down();
111}
112function set_remaining_tabs(){
113	var agecount=jQuery(".age").length;
114	var last_age_tab=jQuery("#age"+agecount).attr("tabindex");
115	jQuery("#res_usa_canada_1").attr("tabindex",last_age_tab+1);
116	jQuery("#res_usa_canada_2").attr("tabindex",last_age_tab+2);
117	jQuery("#res_usa_canada_3").attr("tabindex",last_age_tab+3);
118	jQuery("#state").attr("tabindex",last_age_tab+4);
119	jQuery("#B1").attr("tabindex",last_age_tab+5);
120	jQuery("#B2").attr("tabindex",last_age_tab+6);
121}
122function load_state_drop_down(country){		
123	// you can directly echo dropdown on designated section using e.g. $us_states_dropdown , example is if there is a need for both us and canada state using '_js' on variable name	
124	// default select dropdown code is <select id="state" name="state></select>
125	var us_state='<select id="state" name="state"><option value="AL">Alabama</option><option value="AK">Alaska</option><option value="AZ">Arizona</option><option value="AR">Arkansas</option><option value="CA">California</option><option value="CO">Colorado</option><option value="CT">Connecticut</option><option value="DE">Delaware</option><option value="DC">District Of Columbia</option><option value="FL">Florida</option><option value="GA">Georgia</option><option value="HI">Hawaii</option><option value="ID">Idaho</option><option value="IL">Illinois</option><option value="IN">Indiana</option><option value="IA">Iowa</option><option value="KS">Kansas</option><option value="KY">Kentucky</option><option value="LA">Louisiana</option><option value="ME">Maine</option><option value="MD">Maryland</option><option value="MA">Massachusetts</option><option value="MI">Michigan</option><option value="MN">Minnesota</option><option value="MS">Mississippi</option><option value="MO">Missouri</option><option value="MT">Montana</option><option value="NE">Nebraska</option><option value="NV">Nevada</option><option value="NH">New Hampshire</option><option value="NJ">New Jersey</option><option value="NM">New Mexico</option><option value="NY">New York</option><option value="NC">North Carolina</option><option value="ND">North Dakota</option><option value="OH">Ohio</option><option value="OK">Oklahoma</option><option value="OR">Oregon</option><option value="PA">Pennsylvania</option><option value="RI">Rhode Island</option><option value="SC">South Carolina</option><option value="SD">South Dakota</option><option value="TN">Tennessee</option><option value="TX">Texas</option><option value="UT">Utah</option><option value="VT">Vermont</option><option value="VA">Virginia</option><option value="WA">Washington</option><option value="WV">West Virginia</option><option value="WI">Wisconsin</option><option value="WY">Wyoming</option></select>';
126;
127	var can_state='<select id="state" name="state"><option value="AB">Alberta</option><option value="BC">British Columbia</option><option value="MB">Manitoba</option><option value="NB">New Brunswick</option><option value="NL">Newfoundland And Labrador</option><option value="NT">Northwest Territories</option><option value="NS">Nova Scotia</option><option value="NU">Nunavut</option><option value="ON">Ontario</option><option value="PE">Prince Edward Island</option><option value="SK">Saskatchewan</option><option value="YT">Yukon</option></select>';
128;
129	var states=us_state;
130	// if needed codes on select tag, you can add '_options' on variable name to use select options only see commented example (uses 'options_js' as its in a js script'
131	// states ='<select id="state" name="states">'+'<option value="AL">Alabama</option><option value="AK">Alaska</option><option value="AZ">Arizona</option><option value="AR">Arkansas</option><option value="CA">California</option><option value="CO">Colorado</option><option value="CT">Connecticut</option><option value="DE">Delaware</option><option value="DC">District Of Columbia</option><option value="FL">Florida</option><option value="GA">Georgia</option><option value="HI">Hawaii</option><option value="ID">Idaho</option><option value="IL">Illinois</option><option value="IN">Indiana</option><option value="IA">Iowa</option><option value="KS">Kansas</option><option value="KY">Kentucky</option><option value="LA">Louisiana</option><option value="ME">Maine</option><option value="MD">Maryland</option><option value="MA">Massachusetts</option><option value="MI">Michigan</option><option value="MN">Minnesota</option><option value="MS">Mississippi</option><option value="MO">Missouri</option><option value="MT">Montana</option><option value="NE">Nebraska</option><option value="NV">Nevada</option><option value="NH">New Hampshire</option><option value="NJ">New Jersey</option><option value="NM">New Mexico</option><option value="NY">New York</option><option value="NC">North Carolina</option><option value="ND">North Dakota</option><option value="OH">Ohio</option><option value="OK">Oklahoma</option><option value="OR">Oregon</option><option value="PA">Pennsylvania</option><option value="RI">Rhode Island</option><option value="SC">South Carolina</option><option value="SD">South Dakota</option><option value="TN">Tennessee</option><option value="TX">Texas</option><option value="UT">Utah</option><option value="VT">Vermont</option><option value="VA">Virginia</option><option value="WA">Washington</option><option value="WV">West Virginia</option><option value="WI">Wisconsin</option><option value="WY">Wyoming</option>'+'</select>';
132	if(country=='Canada'){
133		states=can_state;
134	}
135	//display to specific area
136	jQuery('#showhere').html(states);
137}
138jQuery(document).ready(function(){
139	set_remaining_tabs();
140	jQuery("#showhere").on("DOMNodeInserted",function(){
141		set_remaining_tabs();
142	});
143	jQuery("#ageplus").on('click',function(){
144		var agecount=jQuery(".age").length;
145		var newnum=agecount+1;
146		var newtab=agecount+7;
147		var tens=agecount%10;
148		if(agecount>=9){
149			alert('Only a maximum of 9 travelers allowed.');
150			return false;
151		}
152		if(tens==0){
153			jQuery("#agetabs").append("<br /><input type='text' id='age"+newnum+"' name='age"+newnum+"' size='2' maxlength='3' tabindex='"+newtab+"' value='' class='age'>");
154		} else {
155			jQuery("#agetabs").append("<input type='text' id='age"+newnum+"' name='age"+newnum+"' size='2' maxlength='3' tabindex='"+newtab+"' value='' class='age'>");
156		}
157		set_remaining_tabs();
158	});
159	jQuery("#ageminus").on('click',function(){
160		var agecount=jQuery(".age").length;
161		if(agecount>1){
162			var ifbrk=jQuery("#age"+agecount).prev().prop('tagName');
163			if(ifbrk=="BR"){
164				jQuery("#age"+agecount).prev().remove();
165				jQuery("#age"+agecount).remove();
166			}else{
167				jQuery("#age"+agecount).remove();
168			}
169		}
170		set_remaining_tabs();
171	});
172	jQuery(document).on('keydown','input[type=text][name^=age]',function(event) {
173      				if ( event.keyCode == 46 || event.keyCode == 8 || event.keyCode == 9 || event.keyCode == 27 || event.keyCode == 13 ||
174							(event.keyCode == 65 && event.ctrlKey === true) ||
175							(event.keyCode >= 35 && event.keyCode <= 39)) {
176								 return;
177					}else{
178						if (event.shiftKey || (event.keyCode < 48 || event.keyCode > 57) && (event.keyCode < 96 || event.keyCode > 105 )) {
179							event.preventDefault();
180						}
181					}
182				});
183	// return date must be at least one day after departure date
184	function sync_return_date(forceReset){
185		var dep=jQuery("#departdate").datepicker('getDate');
186		if(!dep){
187			return;
188		}
189		var minRet=new Date(dep.getFullYear(),dep.getMonth(),dep.getDate()+1);
190		jQuery("#returndate").datepicker("option","minDate",minRet);
191		var ret=jQuery("#returndate").datepicker('getDate');
192		if(forceReset || !ret || ret<minRet){
193			jQuery("#returndate").datepicker("setDate",minRet);
194			jQuery("#ret_day").val(('0'+minRet.getDate()).slice(-2));
195			jQuery("#ret_month").val(('0'+(minRet.getMonth()+1)).slice(-2));
196			jQuery("#ret_year").val(minRet.getFullYear());
197		}
198	}
199	var origDepartSelect=jQuery("#departdate").datepicker("option","onSelect");
200	jQuery("#departdate").datepicker("option","onSelect",function(){
201		if(origDepartSelect){
202			origDepartSelect.apply(this,arguments);
203		}
204		sync_return_date(true);
205	});
206	sync_return_date(false);
207	jQuery("#B1").on("click",function(){
208		var data=jQuery("#mems").serialize();
209		var agecount=jQuery(".age").length;
210		var today = new Date();
211		var todayPlus3Y = new Date(today.getFullYear()+3, today.getMonth(), today.getDate());
212		var deposit = new Date(jQuery('#depositdate').val());
213		var departure = new Date(jQuery('#departdate').val());
214		var notempty=0;
215		var fillup=0;
216		today.setHours(0,0,0,0);
217		todayPlus3Y.setHours(0,0,0,0);
218		deposit.setHours(0,0,0,0);				
219		departure.setHours(0,0,0,0);		
220		if(agecount>9){
221			alert('Only a maximum of 9 travelers allowed.');
222			return false;
223		}
224		jQuery("#agenum" ).val(agecount);
225		jQuery(".age").each(function(){
226			if(jQuery(this).val()!=""){
227				notempty++;
228			}
229		});
230		if(jQuery("#state").val()==''){
231			alert("Please enter a state");
232			return false;
233		}
234		if(jQuery("#total_trip_cost" ).val()==""){
235			fillup++;
236		}
237		if(jQuery("#total_trip_cost" ).val()==0){
238			jQuery("#total_trip_cost" ).val(1);
239		}
240		if(jQuery("#depositdate" ).val()==""){
241			fillup++;
242		}
243		if(jQuery("#departdate" ).val()==""){
244			fillup++;
245		}
246		if(jQuery("#returndate" ).val()==""){
247			fillup++;
248		}
249		if(jQuery("#state" ).val()=="-"){
250			fillup++;
251		}
252		if(notempty==0){
253			alert("Please enter at least 1 age");
254			return false;
255		}
256		if(deposit>todayPlus3Y){
257			alert("Deposit should be less than 3 years from now");
258			return false;
259		}
260		if(departure>todayPlus3Y){
261			alert("Departure date should be less than 3 years from now");
262			return false;
263		}
264		if(deposit>departure){
265			alert("Deposit should be on or before departure");
266			return false;
267		}		
268		if(fillup>0){
269			alert("Please complete the necessary fields.");
270			return false;
271		}
272		var returning = jQuery("#returndate").datepicker('getDate');
273		if(returning && returning<=departure){
274			alert("Return date must be after the departure date");
275			return false;
276		}
277		
278	});
279	jQuery(document).on('click','#state_link',function(){
280		jQuery("#state_list").dialog({
281			autoOpen:false,
282			draggable: false,
283			resizable: false,
284			modal: false,
285			width: 'auto', // overcomes width:'auto' and maxWidth bug			
286			height: 'auto',
287			fluid: true, //new option
288			// minWidth: 310,
289			// minHeight: 75,
290			title: 'Select a State',
291			open: function(){
292				// jQuery(this).on('keydown',function(event) {
293				// if(event.keyCode == 13){
294					// jQuery(this).find(".update_button").click();
295				// }
296				// });
297			}
298		});
299		if(jQuery("#state_list").dialog('isOpen')){
300			jQuery("#state_list").dialog('close');
301		}else{
302			jQuery("#state_list").dialog('open');
303		}
304	});
305	jQuery(document).on('click','.state_pop',function(){
306		var state_id=jQuery(this).attr('id');
307		var state_id_abb=jQuery(this).attr('id').substr(0, 2);
308		var state_name=jQuery(this).text();
309		jQuery('#state').val(state_id_abb);
310		jQuery('.state_pop').removeClass('state_pop_selected');
311		jQuery('#'+state_id).addClass('state_pop_selected');
312		jQuery("#state_link").text(state_name);
313		jQuery("#state_list").dialog('close');
314	});
315});
316</script>
316
317<body>
318<form name="mems" id='mems' method="post" action="pre-quotation-pop.php">
319<input type='hidden' id='state' name='state' value='' />
320<div id='state_list' class='diags'>
321	<table border='0'>
322		<tr><td><a href='javascript:void(0)' id='AL_state_pop' class='state_pop'>Alabama</a></td><td><a href='javascript:void(0)' id='AK_state_pop' class='state_pop'>Alaska</a></td><td><a href='javascript:void(0)' id='AZ_state_pop' class='state_pop'>Arizona</a></td></tr><tr><td><a href='javascript:void(0)' id='AR_state_pop' class='state_pop'>Arkansas</a></td><td><a href='javascript:void(0)' id='CA_state_pop' class='state_pop'>California</a></td><td><a href='javascript:void(0)' id='CO_state_pop' class='state_pop'>Colorado</a></td></tr><tr><td><a href='javascript:void(0)' id='CT_state_pop' class='state_pop'>Connecticut</a></td><td><a href='javascript:void(0)' id='DE_state_pop' class='state_pop'>Delaware</a></td><td><a href='javascript:void(0)' id='DC_state_pop' class='state_pop'>District Of Columbia</a></td></tr><tr><td><a href='javascript:void(0)' id='FL_state_pop' class='state_pop'>Florida</a></td><td><a href='javascript:void(0)' id='GA_state_pop' class='state_pop'>Georgia</a></td><td><a href='javascript:void(0)' id='HI_state_pop' class='state_pop'>Hawaii</a></td></tr><tr><td><a href='javascript:void(0)' id='ID_state_pop' class='state_pop'>Idaho</a></td><td><a href='javascript:void(0)' id='IL_state_pop' class='state_pop'>Illinois</a></td><td><a href='javascript:void(0)' id='IN_state_pop' class='state_pop'>Indiana</a></td></tr><tr><td><a href='javascript:void(0)' id='IA_state_pop' class='state_pop'>Iowa</a></td><td><a href='javascript:void(0)' id='KS_state_pop' class='state_pop'>Kansas</a></td><td><a href='javascript:void(0)' id='KY_state_pop' class='state_pop'>Kentucky</a></td></tr><tr><td><a href='javascript:void(0)' id='LA_state_pop' class='state_pop'>Louisiana</a></td><td><a href='javascript:void(0)' id='ME_state_pop' class='state_pop'>Maine</a></td><td><a href='javascript:void(0)' id='MD_state_pop' class='state_pop'>Maryland</a></td></tr><tr><td><a href='javascript:void(0)' id='MA_state_pop' class='state_pop'>Massachusetts</a></td><td><a href='javascript:void(0)' id='MI_state_pop' class='state_pop'>Michigan</a></td><td><a href='javascript:void(0)' id='MN_state_pop' class='state_pop'>Minnesota</a></td></tr><tr><td><a href='javascript:void(0)' id='MS_state_pop' class='state_pop'>Mississippi</a></td><td><a href='javascript:void(0)' id='MO_state_pop' class='state_pop'>Missouri</a></td><td><a href='javascript:void(0)' id='MT_state_pop' class='state_pop'>Montana</a></td></tr><tr><td><a href='javascript:void(0)' id='NE_state_pop' class='state_pop'>Nebraska</a></td><td><a href='javascript:void(0)' id='NV_state_pop' class='state_pop'>Nevada</a></td><td><a href='javascript:void(0)' id='NH_state_pop' class='state_pop'>New Hampshire</a></td></tr><tr><td><a href='javascript:void(0)' id='NJ_state_pop' class='state_pop'>New Jersey</a></td><td><a href='javascript:void(0)' id='NM_state_pop' class='state_pop'>New Mexico</a></td><td><a href='javascript:void(0)' id='NY_state_pop' class='state_pop'>New York</a></td></tr><tr><td><a href='javascript:void(0)' id='NC_state_pop' class='state_pop'>North Carolina</a></td><td><a href='javascript:void(0)' id='ND_state_pop' class='state_pop'>North Dakota</a></td><td><a href='javascript:void(0)' id='OH_state_pop' class='state_pop'>Ohio</a></td></tr><tr><td><a href='javascript:void(0)' id='OK_state_pop' class='state_pop'>Oklahoma</a></td><td><a href='javascript:void(0)' id='OR_state_pop' class='state_pop'>Oregon</a></td><td><a href='javascript:void(0)' id='PA_state_pop' class='state_pop'>Pennsylvania</a></td></tr><tr><td><a href='javascript:void(0)' id='RI_state_pop' class='state_pop'>Rhode Island</a></td><td><a href='javascript:void(0)' id='SC_state_pop' class='state_pop'>South Carolina</a></td><td><a href='javascript:void(0)' id='SD_state_pop' class='state_pop'>South Dakota</a></td></tr><tr><td><a href='javascript:void(0)' id='TN_state_pop' class='state_pop'>Tennessee</a></td><td><a href='javascript:void(0)' id='TX_state_pop' class='state_pop'>Texas</a></td><td><a href='javascript:void(0)' id='UT_state_pop' class='state_pop'>Utah</a></td></tr><tr><td><a href='javascript:void(0)' id='VT_state_pop' class='state_pop'>Vermont</a></td><td><a href='javascript:void(0)' id='VA_state_pop' class='state_pop'>Virginia</a></td><td><a href='javascript:void(0)' id='WA_state_pop' class='state_pop'>Washington</a></td></tr><tr><td><a href='javascript:void(0)' id='WV_state_pop' class='state_pop'>West Virginia</a></td><td><a href='javascript:void(0)' id='WI_state_pop' class='state_pop'>Wisconsin</a></td><td><a href='javascript:void(0)' id='WY_state_pop' class='state_pop'>Wyoming</a></td></tr><tr></tr>	</table>
323</div>
324<table border="0" cellpadding="2" cellspacing="0" width="700" align="center">
325<tr>
326<td align="center">
327<table width="700">
328<tr>
329<td valign="top" align="center">
330<!-- BEGIN code --><a href="//www.tripinsurancestore.com/chat/phplive.php?d=0&onpage=livechatimagelink&title=Live+Chat+Image+Link" target="new"><img src="//www.tripinsurancestore.com/chat/ajax/image.php?d=0" border=0></a>
331<!-- END code -- --></td>
332<td width="80%" style="padding:4px;" valign="top"><a href="https://tripinsurancestore.com"><img border="0" src="/wp-content/uploads/2019/08/tis7.png" width="400" height="112" title="Return to TripInsuranceStore.com's Home Page"></a></td></tr></table>
333</td></tr>
334<td align="center">
335<p align="center"><strong>You can get Instant Quotes if your per person trip cost is up to $100,000<br /><a title="Send us an email" href="/email.php" target="_blank">(click here to send your trip's details if your per person trip cost is over $100,000)</a></strong></td></p>
336<input type="hidden" name="init_trip_dep_date" value="">
337<input type="hidden" name="fin_trip_dep_date" value="">
338<input type="hidden" name="departure_date" value="">
339<input type="hidden" name="return_date" value="">
340<table border="1" cellpadding="4" cellspacing="0" width="700" align="center">
341<tr>
342<td colspan="2"><p align="center"><strong>If you prefer personal service, call Deanna, Kim or Steve at <sp
342an style="color: red">1-888-407-3854</span> or <span style="color: red">816-282-6858</span>, Mon - Fri: 7:30 am - 5 pm, Sat: 11 am - 3 pm or <a title="Send us an email" href="/email.php" target="_blank">email us here</a>, or go to <a title="Send us an email" href="https://tripinsurancestore.com/" target="_blank">our Home Page</a></strong>.</td></tr>
343<tr>
344<td colspan="2"><p><strong>Most plans require you to insure your full <a title="What constitutes your trip cost?" href="/what-is-your-trip-cost/" target="_blank">trip cost</a> for the <a title="What is a Pre-Existing Medical Condition?" href="/how-travel-insurance-pre-existing-medical-conditions-coverage-works/" target="_blank">pre-existing medical conditions</a> and <a title="What is Cancel For Any Reason?" href="/cancel-for-any-reason-travel-insurance-plans/" target="_blank">Cancel For Any Reason</a> coverage.</strong></td></tr>
345<tr>
346<td style="border-bottom: 1 solid #C0C0C0" width="50%"><p><strong>Your <a title="What constitutes your trip cost?" href="/what-is-your-trip-cost/" target="_blank"> per person trip cost</a></strong><br><a href="https://tripinsurancestore.com/getquotation/" title="Multi Trip Cost Quotes" target="_blank">(click here if your trip costs are not equal)</a></td>
347<td style="border-bottom: 1 solid #C0C0C0" width="50%"><p>$<input type="text" name="total_trip_cost" id="total_trip_cost" size="5" tabindex="3" value="">&nbsp;&nbsp;Your per person prepaid trip cost</td>
348</tr>
349<tr>
350<td style="border-bottom: 1 solid #C0C0C0"><p><strong>When did you <a title="What date is my initial trip deposit date?" href="/initial-trip-deposit-date/" target="_blank"> 1st pay money towards your trip?</a></strong></td>
351<td style="border-bottom: 1 solid #C0C0C0">
352<input type='hidden' name='init_day' value='1' id='init_day'><input type='hidden' name='init_month' value='10' id='init_month'><input type='hidden' name='init_year' value='2026' id='init_year'><input type='hidden' name='final_day' value='1' id='final_day'><input type='hidden' name='final_month' value='10' id='final_month'><input type='hidden' name='final_year' value='2026' id='final_year'><input type='text' tabindex='4' name='depositdate' value='10/01/2026' id='depositdate'></td></tr>
353<!--<tr>
354<td style="border-bottom: 1 solid #C0C0C0"><p><strong>Check if you are leaving today, or your travel is more than 29 days, or both</strong></td>
355<td style="border-bottom: 1 solid #C0C0C0"><input type="checkbox" name="show_travel_dates" id="show_travel_dates" value="1" onClick="toggle_travel_dates();" /></td>
356</tr>
357--><tbody id="travel_dates">
358<tr>
359<td style="border-bottom: 1 solid #C0C0C0"><p><strong>Your Departure Date from home</strong></td>
360<td style="border-bottom: 1 solid #C0C0C0">
361<input type='hidden' name='dep_day' value='01' id='dep_day'><input type='hidden' name='dep_month' value='11' id='dep_month'><input type='hidden' name='dep_year' value='2026' id='dep_year'><input type='text' tabindex='5' name='departdate' value='11/01/2026' id='departdate'></td></tr>
362<tr>
363<td style="border-bottom: 1 solid #C0C0C0"><p><strong>Your Return Date back to home</strong></td>
364<td style="border-bottom: 1 solid #C0C0C0">
365<input type='hidden' name='ret_day' value='02' id='ret_day'><input type='hidden' name='ret_month' value='11' id='ret_month'><input type='hidden' name='ret_year' value='2026' id='ret_year'><input type='text' tabindex='6' name='returndate' value='11/02/2026' id='returndate'></td></tr>
366</tbody>
367<tr>
368<td style="border-bottom: 1 solid #C0C0C0" width="270"><p><strong>Enter Your Age(s) Today</strong></td>
369<td style="border-bottom: 1 solid #C0C0C0" width="460">
370<input type='hidden' name='agenum' value='4' id='agenum'>
371<div id='agetabs'>
372<input type='text' name='age1' size='2' id='age1' maxlength='2' tabindex='7' value='' class='age'><input type='text' name='age2' size='2' id='age2' maxlength='2' tabindex='8' value='' class='age'><input type='text' name='age3' size='2' id='age3' maxlength='2' tabindex='9' value='' class='age'><input type='text' name='age4' size='2' id='age4' maxlength='2' tabindex='10' value='' class='age'></div>
373<input type='button' id='ageplus' class='addperson'>
374<input type='button' id='ageminus' class='rmage'>
375</td>
376</tr>
377<tr>
378<td style="border-bottom: 1 solid #C0C0C0" width="460"><p><strong>Your State of residence</strong></p></td>
379<td style="border-bottom: 1 solid #C0C0C0" width="460"><p>
380<a href="javascript:void(0)" id="state_link">
381	Click to select State		
382</a>
383</p>
384</tr>
385
386
387
388
389
390
391<!--<tr>
392<td style="border-bottom: 1 solid #C0C0C0" width="460"><p><strong>Destination </strong></p></td>
393<td style="border-bottom: 1 solid #C0C0C0" width="460"><p>
394<select name='destination' id='destination'>
395	<option value="USA, Canada, Europe">USA, Canada, Europe</option>
396	<option value="Caribbean, Mexico">Caribbean, Mexico</option>
397	<option value="All other places">All other places</option>
398</select>
399</p></td>
400</tr>-->
401<!--
402<tr>
403<td style="border-bottom: 1 solid #C0C0C0" width="290"><p><strong>Are you going to Cuba?</strong></td>
404<td style="border-bottom: 1 solid #C0C0C0" width="460">
405<input type="radio" name="to_cuba" id="to_cuba_yes" value="yes" />Yes <input type="radio" name="to_cuba" id="to_cuba_no" value="no" checked /> No
406</td>
407</tr>
408-->
409<td colspan="2">
410<p align="center"><input type="reset" value="Clear" name="B2" id="B2" tabindex="40" onClick="empty_sessions();">&nbsp;&nbsp;&nbsp;<input type="submit" value="Click here for your side-by-side travel insurance quotes" id="B1" name="B1" tabindex="39"></td></tr>
411</table>
412</table>
413</form>
414</body>
415
416
417
418
419</html>

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