Passport to Prizes Contest

First Name *

The First Name can only contain alphabetic characters and hyphens; special characters are not allowed.

Last Name *

The Last Name can only contain alphabetic characters and hyphens; special characters are not allowed.

Email Address *

The Email Address must be in the following format: someone@example.com

Phone Number *

The Phone Number must be in the format: ###-###-####.

Postal Code *

The Postal Code must be in the following format: A1A 1A1

Name of your group or association

Group or association can only contain alphabetic characters and hyphens; special characters are not allowed.

Let us know when your insurance policy renews and get exclusive deals!

Car insurance renewal date *

Please select a Month

Home insurance renewal date *

Please select a Month

Travel insurance renewal date

Please select a Month

Are you an existing policyholder? *

Yes No

Please select yes or no

Yes, I agree

BY SUBMITTING THIS FORM, YOU AGREE TO THE OFFICIAL RULES

Your entry has been successfully submitted!

Travel smarter with annual travel insurance coverage. You could receive protection for an unlimited number of trips per year, often at a lower cost than single trip coverage.¹ It's travel insurance, simplified.

Get my price

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