Application and Payment Form. Step 1

Personal and Contact Details, Insurance Period

Please enter details of the insured person, select insurance period (from/to dates) and travel destination. Do not hesitate to contact us should you have any questions.

Submit the form and proceed to our secure payment page.

Global Choices. Contact information

Global Choices, 146 Omega Works, 4 Roach Road, London E3 2GY, United Kingdom
Tel: (+ 44) 208 533 2777 (UK)
Tel.: (+1) 646 929 4656 (USA)
Fax: (+ 44) 870 330 5955

Online near you:

Write to Global Choices General inquiries
Become our partner Partnership application form
Recruitment services Employee request form

Global Choices Network

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The whole process is very simple. Step 1

Fill in the Insurance Application Form (Step 1). Please make sure that the whole travel period is covered.
View your order details and enter your Bank Card inforamtion on our secure payment page (Step 2).
You will receive an instant e-mail alert from our website containing information about your insurance order and a notification message after we receive your payment.
Shortly, you will receive a confirmation and all insurance documents including your policy number and printable ID Insurance Card.
Print out your ID Insurance Card and keep it in a safe place.

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