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Canadian Travellers
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Emergency Medical
Arrival (in Canada) date
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Effective (Start) date
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Return date
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Length of Trip:
Destinations (check all that apply)
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Canada
Cuba
Mexico
Other
USA
USA < 6 days transit
Number of Travellers
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One
Two travelling together
Family of 3
Family of 4
Family of 5
Family of 6
Family of 7
Family of 8
Family of 9
Family of 10
Family quotes are restricted to parents & guardians under age 60 and dependent children under age 21.
Traveller #1's date of birth
Traveller #2's date of birth
Traveller #3's date of birth
Traveller #4's date of birth
Traveller #5's date of birth
Traveller #6's date of birth
Traveller #7's date of birth
Traveller #8's date of birth
Email address
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