

var formId=new Array();
formId["VisitorTravel"]='<table width="30%" border="0" cellpadding="0" cellspacing="0" align="center"><tr><td valign="top"><a name="visitortravelmedicalinsurance" title="Visitor Travel Medical Insurance"></a><img src="/images/visitor-insurance-box1.gif" alt="Visitor Travel Medical Insurance" width="294" height="31"></td></tr><tr><td background="/images/visitor-insurance-box2.gif" width="294" height="170" align="center" valign="top" style="background-repeat:no-repeat" alt="Visitor Travel Medical Insurance"><form method="post" name="visitorForm" action="http://www.americanvisitorinsurance.com/insurance/visitors-medical-summary.asp"><table cellpadding="0" width="100%" cellspacing="0" border="0" align="center"><tr><td valign="top" width="60%"><font size="2" face="Arial" color="#ffffff">&nbsp;&nbsp;<b>Traveler\'s Age</b></font></td><td width="40%"><input size="2" name="Age" onKeyPress="return numbersonly(event);" maxlength="2"></td></tr><tr><td valign="top" width="60%"><font size="2" face="Arial" color="#ffffff">&nbsp;&nbsp;<b>Traveler&rsquo;s spouse age<br>&nbsp;&nbsp;(</b></font><font face="Arial, Helvetica, sans-serif" size="1" color="#ffffff">if reqd</font><font size="2" face="Arial" color="#ffffff"><b>)</b></a></font>			</td><td width="40%"><input size="2" name="spouseAge" onKeyPress="return numbersonly(event);" maxlength="2">			</td></tr><tr><td valign="top" width="60%"><font size="2" face="Arial" color="#ffffff">&nbsp;&nbsp;<b>Max coverage reqd</b></font></td><td width="40%"><select name="MaxPolicyLimit" size="1" style="font-size:10px; width:125px;"><option value="0-25000">$25,000 or less </option><option selected="selected" value="26000-50000">$26,000 to $50,000</option><option value="51000-75000">$51,000 to $75,000</option><option value="76000-100000">$76,000 to $100,000</option><option value="101000-499000">$101,000 to $499,000</option><option value="500000-999000">$500,000 to $999,000</option><option value="1000000-1999000">$1,000,000 to $1,999,000</option><option value="2000000-7999000">$2,000,000 to $7,999,000</option><option value="8000000-10000000">$8,000,000 or more</option></select></td></tr><tr><td height="10" colspan="2"></td></tr><tr><td width="60%" valign="top" style="border-right:0"><font size="2" face="Arial" color="#ffffff">&nbsp;&nbsp;<b>Coverage Period</b></font>		</td><td width="40%"><input type="text" name="monthsOfCoverage" style="width:20px" value="1"><font face="Arial, Helvetica, sans-serif" size="1" color="#ffffff">months</font><input type="text" name="daysOfCoverage" style="width:20px" value="0"><font face="Arial, Helvetica, sans-serif" size="1" color="#ffffff">days</font></td></tr><tr><td valign="top" style="border-right:0"><font size="2" face="Arial" color="#ffffff"><b>Country of Citizenship</b></font></td><td><input type="radio" checked="checked" name="CountryofCitizenship" value="2" onClick="document.visitorForm.CountryforCoverage.value=1;"><font face="Arial, Helvetica, sans-serif" size="1" color="#ffffff">Non US</font><input type="radio" name="CountryofCitizenship" value="1" onClick="document.visitorForm.CountryforCoverage.value=4;"><font face="Arial, Helvetica, sans-serif" size="1" color="#ffffff">US</font></td></tr></table><table width="100%" border="0" cellpadding="0" cellspacing="0"><tr><td height="10" align="center" colspan="2"><input type="hidden" name="Deductible" value="101-250"><input type="hidden" name="NumberOfChildren" value="0"><input type="hidden" name="CountryforCoverage" value="1"><input type="hidden" name="MailingAddress" value="2"><input type="hidden" name="Residence" value="2"><input type="hidden" name="USarrival" value="0"><input type="hidden" name="P"><input type="hidden" name="S"><input type="hidden" name="mths"><input type="hidden" name="dys"><input type="hidden" name="x"><input type="hidden" name="us">	</td></tr><tr><td align="center"><input type="button" value=" Get Quote! " name="quote" onClick="validate(document.visitorForm,\'Visitor\');"></td><td align="center"><input type="button" value="More Options" name="moreOption" onClick="gomain(document.visitorForm,\'http://www.americanvisitorinsurance.com/insurance/visitors-medical-compare.asp\');"></td></tr></table></form></td></tr></table>';

formId["Europe"]='<table width="90%" border="0" cellpadding="0" cellspacing="0" align="center"><tr><td valign="top"><img src="/images/europe-travel-medical-insurance-box1.gif" width="277" height="34" alt="French Visa Travel Insurance"></td></tr><tr><td background="/images/europe-travel-medical-insurance-box2.gif" width="277" height="141" valign="top" style="background-repeat:no-repeat; height:170px" alt="French Visa Travel Insurance"><form method="post" name="europeForm" action="http://www.americanvisitorinsurance.com/insurance/europe-travel-summary.asp"><div align="center"><table align="center" cellpadding="0" width="100%" cellspacing="0" border="0"><tr><td valign="top" width="50%"><font size="2" face="Arial" color="#ffffff">&nbsp;&nbsp;<b>Visitor\'s age</b></font></td><td width="2%">&nbsp;</td><td width="48%" align="left"><input size="2" name="Age" onKeyPress="return numbersonly(event);" maxlength="2"></td></tr><tr><td valign="top"><font size="2" face="Arial" color="#ffffff"><b>&nbsp;&nbsp;Spouse\'s age</b></font></td><td>&nbsp;</td><td><input size="2" name="spouseAge" onKeyPress="return numbersonly(event);" maxlength="2"></td></tr><tr><td valign="top"><font size="2" face="Arial" color="#ffffff"><b>&nbsp;&nbsp;Maximum coverage</b></font></td><td>&nbsp;</td><td><select name="MaxPolicyLimit" size="1" style="font-size:10px; width:125px;"><option value="0-25000">$25,000 or less </option><option selected="selected" value="26000-50000">$26,000 to $50,000</option><option value="51000-75000">$51,000 to $75,000</option><option value="76000-100000">$76,000 to $100,000</option><option value="101000-499000">$101,000 to $499,000</option><option value="500000-999000">$500,000 to $999,000</option><option value="1000000-1999000">$1,000,000 to $1,999,000</option><option value="2000000-7999000">$2,000,000 to $7,999,000</option><option value="8000000-10000000">$8,000,000 or more</option></select></td></tr><tr><td valign="top"><font size="2" face="Arial" color="#ffffff"><b>&nbsp;&nbsp;Coverage Period</b></font></td><td>&nbsp;</td><td><input type="text" name="monthsOfCoverage" size="2" value="0" maxlength="2"><font size="1" face="Arial" color="#ffffff">months&nbsp;</font><input type="text" name="daysOfCoverage" size="2" value="14" maxlength="2"><font size="1" face="Arial" color="#ffffff">days</font></td></tr><tr><td colspan="3" align="center" valign="top"><input type="hidden" name="NumberOfChildren" value="0"><input type="hidden" name="Deductible" value="101-250"><input type="hidden" name="CountryofCitizenship" value="2"><input type="hidden" name="Residence" value="2"><input type="hidden" name="MailingAddress" value="2"><input type="hidden" name="CountryforCoverage" value="4"><input type="hidden" name="P"><input type="hidden" name="S"><input type="hidden" name="mths"><input type="hidden" name="dys"><input type="hidden" name="x"><input type="hidden" name="us">	</td></tr></table><br><input type="button" name="quote" value=" Get Quote! " onClick="validate(document.europeForm,\'Schengen Visa\');"><input type="button" value="More Options" name="moreOption" onClick="gomain(document.europeForm,\'http://www.americanvisitorinsurance.com/insurance/europe-travel-compare.asp\');"></div></form></td></tr></table>';

formId["Immigrant"]='<table width="90%" border="0" cellpadding="0" cellspacing="0" align="center"><tr><td valign="top"><img src="/images/immigrant-medical-insurance-box1.gif" width="277" height="34" alt="US Immigrant Medical Insurance"></td></tr><tr><td background="/images/immigrant-medical-insurance-box2.gif" width="277" height="141" valign="top" style="background-repeat:no-repeat" alt="US Immigrant Medical Insurance"><form method="post" name="immigrantForm" action="http://www.americanvisitorinsurance.com/insurance/immigrant-summary.asp"><div align="center"><table align="center" cellpadding="0" width="100%" cellspacing="0" border="0"><tr><td valign="top" width="55%"><font size="2" face="Arial" color="#ffffff">&nbsp;&nbsp;<b>Immigrant\'s Age</b></font></td><td width="45%" align="left" colspan="7"><INPUT size="2" name="Age" onKeyPress="return numbersonly(event);" maxlength="2"></td></tr><tr><td valign="top"><font size="2" face="Arial" color="#ffffff"><a name="spouse"><b>&nbsp;&nbsp;Immigrant Spouse\'s &nbsp;&nbsp;&nbsp;Age</b></a></font><font size="1" face="Arial" color="#ffffff">&nbsp;(if reqd.)</font><br><td colspan="7"><INPUT size="2" name="spouseAge" onKeyPress="return numbersonly(event);" maxlength="2"></td></tr><tr><td valign="top"><font size="2" face="Arial" color="#ffffff"><a name="maxcoverage"><b>&nbsp;&nbsp;Maximum coverage</b></a></font></td><td colspan="7"><select name="MaxPolicyLimit" size="1" style="font-size:10px; width:125px;"><option value="0-25000">$25,000 or less </option><option selected="selected" value="26000-50000">$26,000 to $50,000</option><option value="51000-75000">$51,000 to $75,000</option><option value="76000-100000">$76,000 to $100,000</option><option value="101000-499000">$101,000 to $499,000</option><option value="500000-999000">$500,000 to $999,000</option><option value="1000000-1999000">$1,000,000 to $1,999,000</option><option value="2000000-7999000">$2,000,000 to $7,999,000</option><option value="8000000-10000000">$8,000,000 or more</option></select></td></tr><tr><td valign="top"><strong><font size="2" face="Arial" color="#ffffff">&nbsp;Country of Citizenship</font></strong></td><td colspan="7"><font size="2" face="Arial" color="#ffffff"><input type="radio" onClick="document.immigrantForm.CountryforCoverage.value=1;" checked="checked" name="CountryofCitizenship" value="2">Non-US<input type="radio" onClick="document.immigrantForm.CountryforCoverage.value=4;" name="CountryofCitizenship" value="1">US</font></td></tr><tr><td colspan="8" align="center" valign="top"><input type="hidden" name="Deductible" value="101-250"><input type="hidden" name="NumberOfChildren" value="0"><input type="hidden" name="CountryforCoverage" value="1"><input type="hidden" name="MailingAddress" value="2"><input type="hidden" name="Residence" value="2"><input type="hidden" name="USarrival" value="0"><input type="hidden" name="P"><input type="hidden" name="S"><input type="hidden" name="mths"><input type="hidden" name="dys"><input type="hidden" name="x"><input type="hidden" name="us">	</td></tr></table><br><input name="quote" type="button" onClick="validate(document.immigrantForm,\'Immigrant\');" value="Get Quote"><input type="button" value="More Options" name="moreOption" onClick="gomain(document.immigrantForm,\'http://www.americanvisitorinsurance.com/insurance/immigrant-compare.asp\');"></div></form></td></tr></table>';

formId["Nanny"]='<table width="90%" border="0" cellpadding="0" cellspacing="0" align="center"><tr><td valign="top"><img src="/images/nanny-medical-insurance-box1.gif" width="277" height="34" alt="Schengen Visa Insurance"></td></tr><tr><td background="/images/nanny-medical-insurance-box2.gif" width="277" height="141" valign="top" style="background-repeat:no-repeat; height:170px" alt="Schengen Visa Insurance"><form method="post" name="nannyForm" action="http://www.americanvisitorinsurance.com/insurance/nanny-summary.asp"><div align="center"><table align="center" cellpadding="0" width="100%" cellspacing="0" border="0"><tr><td valign="top" width="53%"><font size="2" face="Arial" color="#ffffff">&nbsp;&nbsp;<b>Nanny\'s age</b></font> </td><td width="1%">&nbsp;</td><td width="46%" align="left"><INPUT size="2" name="Age" onKeyPress="return numbersonly(event);" MAXLENGTH=2 ></td></tr><tr><td valign="top"><font size="2" face="Arial" color="#ffffff"><b>&nbsp;&nbsp;Max coverage reqd. </b></font> </td><td>&nbsp;</td><td><select name="MaxPolicyLimit" size="1" style="font-size:10px; width:125px;"><option value="0-25000">$25,000 or less </option><option selected="selected" value="26000-50000">$26,000 to $50,000</option><option value="51000-75000">$51,000 to $75,000</option><option value="76000-100000">$76,000 to $100,000</option><option value="101000-499000">$101,000 to $499,000</option><option value="500000-999000">$500,000 to $999,000</option><option value="1000000-1999000">$1,000,000 to $1,999,000</option><option value="2000000-7999000">$2,000,000 to $7,999,000</option><option value="8000000-10000000">$8,000,000 or more</option></select></td></tr><tr><td valign="top"><font size="2" face="Arial" color="#ffffff"><b>&nbsp;&nbsp;Coverage Period</b></font></td><td>&nbsp;</td><td><input type="text" name="monthsOfCoverage" value="1" onChange="if(this.value < 0)this.value=0" size="2"><font size="1" face="Arial" color="#ffffff">months</font>&nbsp;<input type="text" name="daysOfCoverage" value="0" onChange="if(this.value < 0)this.value=0" size="2"><font size="1" face="Arial" color="#ffffff">days</font> </td></tr><tr><td valign="top"><font size="2" face="Arial" color="#ffffff"><b>Country of Citizenship</b></font></td><td>&nbsp;</td><td><font size="2" face="Arial" color="#ffffff"><input type="radio" onClick="document.nannyForm.CountryforCoverage.value=1;" checked="checked" name="CountryofCitizenship" value="2">Non-US<input type="radio" onClick="document.nannyForm.CountryforCoverage.value=3;" name="CountryofCitizenship" value="1">US</font></td></tr><tr><td colspan="3" align="center" valign="top"><input type="hidden" name="Deductible" value="101-250"><input type="hidden" name="NumberOfChildren" value="0"><input type="hidden" name="CountryforCoverage" value="1"><input type="hidden" name="us"><input type="hidden" name="MailingAddress" value="2"><input type="hidden" name="Residence" value="2"><input type="hidden" name="USarrival" value="0"><input type="hidden" name="dys"><input type="hidden" name="mths"><input type="hidden" name="P"><input type="hidden" name="S"><input type="hidden" name="x"></td></tr></table><input name="quote" type="button" onClick="validate(document.nannyForm,\'Nanny\');" value="Get Quote"><input type="button" value="More Options" name="moreOption" onClick="gomain(document.nannyForm,\'http://www.americanvisitorinsurance.com/insurance/nanny-compare.asp\');"></div></form></td></tr></table>';

formId["Student"]='<table width="90%" border="0" cellpadding="0" cellspacing="0" align="center"><tr><td valign="top"><img src="/images/international-student-medical-insurance-box1.gif" width="277" height="34" alt="International Student Health Insurance"></td></tr><tr><td background="/images/international-student-medical-insurance-box2.gif" width="277" height="210" valign="top" style="background-repeat:no-repeat" alt="International Student Health Insurance"><form method="post" name="studentForm" action="http://www.americanvisitorinsurance.com/insurance/students-medical-summary.asp"><div align="center"><table align="center" cellpadding="0" width="100%" cellspacing="0" border="0"><tr><td valign="top" width="53%"><font size="2" face="Arial" color="#ffffff">&nbsp;<b>Student\'s age</b></font></td><td width="47%" align="left" colspan="7"><input size="2" name="Age" onKeyPress="return numbersonly(event);" MAXLENGTH="2"></td></tr><tr><td valign="top"><font size="2" face="Arial" color="#ffffff"><b>&nbsp;Student&rsquo;s spouse age</b></font></td><td colspan="7"><input size="2" name="spouseAge" onKeyPress="return numbersonly(event);" MAXLENGTH="2"></td></tr><tr><td valign="top"><font size="2" face="Arial" color="#ffffff"><b>&nbsp;Maximum coverage</b></font></td><td colspan="7"><select name="MaxPolicyLimit" size="1" style="font-size:10px; width:128px"><option value="0-50000">$0  to $50,000</option><option value="50001-100000">$50,001 to $100,000</option><option value="100000-200000">$100,001 to $200,000</option><option selected  value="200000-300000">$200,001 to $300,000</option><option value="300000-500000">$300,001 to $500,000</option><option value="500001-1000000">$500,001 to $1000,000</option></select></td></tr><tr><td valign="top"><font size="2" face="Arial" color="#ffffff"><b>&nbsp;Coverage Period</b></font></td><td colspan="7"><font size="2" face="Arial" color="#ffffff">&nbsp;<input type="text" value="1" name="monthsOfCoverage" style="width:20px" size="1">months<input type="text" value="0" name="daysOfCoverage" style="width:20px" size="1">days</font></td></tr><tr><td valign="top"><font size="2" face="Arial" color="#ffffff">&nbsp;<b>Country of Citizenship</b></font></td><td colspan="7"><font size="2" face="Arial" color="#ffffff"><input type="radio" onClick="document.studentForm.CountryforCoverage.value=1;" checked="checked" name="CountryofCitizenship" value="2">Non-US<input type="radio" onClick="document.studentForm.CountryforCoverage.value=4;" name="CountryofCitizenship" value="1">US</font></td></tr></table><input type="hidden" name="NumberOfChildren" value="0"><input type="hidden" name="Deductible" value="50-100"><input type="hidden" name="CountryofCitizenship2" value="2"><input type="hidden" name="MailingAddress" value="2"><input type="hidden" name="CountryforCoverage" value="1"><input type="hidden" name="Research" value="1"><input type="hidden" name="Course" value="1"><input type="hidden" name="P"><input type="hidden" name="S"><input type="hidden" name="mths"><input type="hidden" name="dys"><input type="hidden" name="x"><input type="hidden" name="us"><br><table width="90%" border="0" cellpadding="0" cellspacing="0"><tr><td align="center"><input name="quote" type="button" onClick="validate(document.studentForm,\'Student\');" value=" Get Quote "></td><td align="center"><input type="button" value="More Options" name="moreOption" onClick="gomain(document.studentForm,\'http://www.americanvisitorinsurance.com/insurance/students-medical-compare.asp\');"></td></tr></table></div></form></td></tr></table>';

formId["jvisa"]='<table width="90%" border="0" cellpadding="0" cellspacing="0" align="center"><tr><td valign="top"><img src="/images/j1-visa-medical-health-insurance-box1.gif" width="277" height="34" alt="J1 Scholar (Exchange Visitor Visa) Health Insurance"></td></tr><tr><td background="/images/j1-visa-medical-health-insurance-box2.gif" width="277" height="141" valign="top" style="background-repeat:no-repeat" alt="J1 Scholar (Exchange Visitor Visa) Health Insurance"><form method="post" name="jvisaForm" action="http://www.americanvisitorinsurance.com/insurance/j1visa-summary.asp"><div align="center"><table align="center" cellpadding="0" width="100%" cellspacing="0" border="0"><tr><td valign="top" width="50%"><font size="2" face="Arial" color="#ffffff">&nbsp;&nbsp;<b>J1 Visa holder\'s Age</b></font></td><td width="50%" align="left" colspan="7"><INPUT size="2" name="Age" onKeyPress="return numbersonly(event);" MAXLENGTH=2 ></td></tr><tr><td valign="top"><font size="2" face="Arial" color="#ffffff"><b>&nbsp;&nbsp;Spouse\'s Age</b></font><br>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<font face="Arial, Helvetica, sans-serif" size="1" color="#ffffff">(if reqd.)</font></td><td colspan="7"><INPUT size="2" name="spouseAge" onKeyPress="return numbersonly(event);" maxlength="2"></td></tr><tr><td valign="top"><font size="2" face="Arial" color="#ffffff"><b>&nbsp;&nbsp;Maximum coverage</b></font></td><td colspan="7"><select name="MaxPolicyLimit" size="1" style="font-size:10px; width:133px"><option value="0-50000">$0  to $50,000</option><option value="50001-100000">$50,001 to $100,000</option><option value="100000-200000">$100,000 to $200,000</option><option selected  value="200000-300000">$200,000 to $300,000</option><option value="300000-500000">$300,000 to $500,000</option><option value="500001-1000000">$500,001 to $1000,000</option></select></td></tr><tr><td valign="top"><font size="2" face="Arial" color="#ffffff"><b>&nbsp;&nbsp;Coverage Period</b></font></td><td colspan="7"><input type="text" name="monthsOfCoverage" size="2" value="1" maxlength="2"><font size="1" face="Arial" color="#ffffff">months</font><input type="text" name="daysOfCoverage" size="2" value="0" maxlength="2"><font size="1" face="Arial" color="#ffffff">day</font></td></tr><tr><td colspan="8" align="center" valign="top"><input type="hidden" name="Deductible" value="50-100"><input type="hidden" name="MailingAddress" value="2"><input type="hidden" name="Course" value="1">    <input type="hidden" name="NumberOfChildren" value="0" />    <input type="hidden" name="P"><input type="hidden" name="S"><input type="hidden" name="mths"><input type="hidden" name="dys"><input type="hidden" name="x"><input type="hidden" name="us"></td></tr></table><br><input type="button" name="quote" value="Get Quote!"  onClick="validate(document.jvisaForm,\'J1 Visa\');"><input type="button" value="More Options" name="moreOption" onClick="gomain(document.jvisaForm,\'http://www.americanvisitorinsurance.com/insurance/j1visa-compare.asp\');"></div></form></td></tr></table>';

formId["Global"]='<form method="post" name="globalForm" action="http://www.americanvisitorinsurance.com/insurance/global-travel-summary.asp"><div align="center"><table align="center" style="font-family:Arial, Helvetica, sans-serif; font-size:12px; font-weight:bold;" cellpadding="0" width="100%" cellspacing="0" border="1"><tr valign="top" bgcolor="#f0f8ff"><td align="center" colspan="4">Global Compare Quotes </td></tr><tr valign="top" bgcolor="#f0f8ff"><td width="55%">Applicant\'s age</td><td width="5%"><input size="2" name="Age" onKeyPress="return numbersonly(event);" maxlength="2" ></td><td width="10%"><font face="Arial, Helvetica, sans-serif" size="-6">Gender</font></td><td width="30%" ><select style="width:60px; font-size:10px;" name="pgender" size="1" onChange="FixGender(this[this.selectedIndex].value,\'p\');"><option selected="selected" value="M">Male</option><option value="F">Female</option></select></td></tr><tr valign="top"><td>Applicant\'s Spouse age <font face="Arial, Helvetica, sans-serif" size="-6">(if reqd.)</font></td><td><input size="2" name="spouseAge" onKeyPress="return numbersonly(event);" maxlength="2"></td><td><font face="Arial, Helvetica, sans-serif" size="-6">Gender</font></td><td ><select style="width:60px; font-size:10px" name="sgender" size="1" onChange="FixGender(this[this.selectedIndex].value,\'s\');"><option value="M">Male</option><option selected="selected" value="F">Female</option></select></td></tr><tr valign="top" bgcolor="#f0f8ff"><td valign="top">Deductible amount                </td><td colspan="3"><select name="Deductible" size="1"><option value="0-99">US$ 0-99 </option><option value="100">US$ 100 </option><option  value="250">US$ 250 </option><option value="500">US$ 500 </option><option selected="selected" value="1000">US$ 1000 </option><option value="2000">US$ 2000 </option><option value="2500">US$ 2500 </option><option value="5000">US$ 5000 </option><option value="10000">US$ 10000 </option></select><td>&nbsp;</td></tr><tr valign="top"><td>Country of citizenship</td><td colspan="3"><input type="radio" checked="checked" name="CountryofCitizenship" value="2">Non USA<input type="radio" name="CountryofCitizenship" value="1">USA</td></tr><tr valign="top" bgcolor="#f0f8ff"><td bgcolor="#f0f8ff" >Where coverage is required</td><td colspan="3"><select style="width:220px; font-size:10px; " name="CountryforCoverage" size="1"><option selected="selected" value="1">Global including USA (Excluding Canada)</option><option value="2">Global including Canada (excluding USA)</option><option value="3">Global including USA &amp; Canada</option><option value="4">Global excluding USA &amp; Canada</option></select></td></tr><tr valign="top" bgcolor="#f0f8ff"><td colspan="4" align="center" bgcolor="#f0f8ff" ><input type="hidden" name="NumberOfChildren" value="0"><input type="hidden" name="MailingAddress" value="2"><input type="hidden" name="Residence" value="2"><input type="hidden" name="PaymentType" value="2"><input type="hidden" name="P"><input type="hidden" name="S"><input type="hidden" name="cv"><input type="hidden" name="PG"><input type="hidden" name="SG"><input type="hidden" name="d"><input type="hidden" name="us"></td></tr></table><table width="42%"><tr><td height="10" colspan="3">&nbsp;</td></tr><tr><td width="60%" align="center"><input type="button" value=" Get Quote! " name="quote" onClick="validate(document.globalForm,\'Applicant\');">				</td></tr></table></div></form>';

formId["Trip"]='<table border="0" cellpadding="0" cellspacing="0" align="center"><tr><td valign="top"><img src="/images/travel-medical-insurance-box21.gif" width="320" height="34" alt="Low Cost Travel Insurance"></td></tr><tr><td background="/images/travel-medical-insurance-box11.gif" width="308" height="170" valign="top" align="center" style="background-repeat:no-repeat;" alt="Travel Insurance"><form method="post" name="tripForm" action="http://www.americanvisitorinsurance.com/insurance/trip-summary.asp"><div align="center"><table width="100%" border="0" align="center" cellpadding="0" cellspacing="0"><tr><td valign="top" width="48%"><font size="2" face="Arial" color="#ffffff"><b>&nbsp;&nbsp;Traveler\'s residence</b></font></td><td width="1%">&nbsp;</td><td width="51%" align="left"><select name="CountryOfResidence" size="1" style="width:140px"><option value="">Select Residence</option><option value="2">Non-USA </option><option value="AL Alabama">AL Alabama</option><option value="AK Alaska">AK Alaska</option><option value="AZ Arizona">AZ Arizona</option><option value="AR Arkansas">AR Arkansas</option><option value="CA California">CA California</option><option value="CO Colorado">CO Colorado</option><option value="CT Connecticut">CT Connecticut</option><option value="DE Delaware">DE Delaware</option><option value="DC District of Columbia">DC Dist. of Columbia</option><option value="FL Florida">FL Florida</option><option value="GA Georgia">GA Georgia</option><option value="HI Hawaii">HI Hawaii</option><option value="ID Idaho">ID Idaho</option><option value="IL Illinois">IL Illinois</option><option value="IN Indiana">IN Indiana</option><option value="IA Iowa">IA Iowa</option><option value="KS Kansas">KS Kansas</option><option value="KY Kentucky">KY Kentucky</option><option value="LA Louisiana">LA Louisiana</option><option value="ME Maine">ME Maine</option><option value="MD Maryland">MD Maryland</option><option value="MA Massachusetts">MA Massachusetts</option><option value="MI Michigan">MI Michigan</option><option value="MN Minnesota">MN Minnesota</option><option value="MS Mississippi">MS Mississippi</option><option value="MO Missouri">MO Missouri</option><option value="MT Montana">MT Montana</option><option value="NE Nebraska">NE Nebraska</option><option value="NV Nevada">NV Nevada</option><option value="NH New Hampshire">NH New Hampshire</option><option value="NJ New Jersey">NJ New Jersey</option><option value="NM New Mexico">NM New Mexico</option><option value="NY New York">NY New York</option><option value="NC North Carolina">NC North Carolina</option><option value="ND North Dakota">ND North Dakota</option><option value="OH Ohio">OH Ohio</option><option value="OK Oklahoma">OK Oklahoma</option><option value="OR Oregon">OR Oregon</option><option value="PA Pennsylvania">PA Pennsylvania</option><option value="RI Rhode Island">RI Rhode Island</option><option value="SC South Carolina">SC South Carolina</option><option value="SD South Dakota">SD South Dakota</option><option value="TN Tennessee">TN Tennessee</option><option value="TX Texas">TX Texas</option><option value="UT Utah">UT Utah</option><option value="VT Vermont">VT Vermont</option><option value="VA Virginia">VA Virginia</option><option value="WA Washington">WA Washington</option><option value="WV West Virginia">WV West Virginia</option><option value="WI Wisconsin">WI Wisconsin</option><option value="WY Wyoming">WY Wyoming</option></select></td></tr></table><br><table width="100%" border="0" cellpadding="0" cellspacing="0"><tr><td valign="top"><table width="100%" border="0" cellpadding="0" cellspacing="0"><tr><td width="33%" valign="bottom"><font size="2" face="Arial" color="#ffffff"><b>&nbsp;&nbsp;Traveler\'s - </b></font></td><td width="15%" valign="bottom"><font size="2" face="Arial" color="#ffffff"><b>Age 1</b></font></td><td width="1%">&nbsp;</td><td valign="bottom" width="21%" align="left"><INPUT type="text" size="2" name="Age1" MAXLENGTH="2" onKeyPress="return numbersonly(event)"></td>	<td width="30%" valign="bottom"><font size="2" face="Arial" color="#ffffff"><b>Age 2</b></font><INPUT type="text" size="2" name="Age2" MAXLENGTH="2" onKeyPress="return numbersonly(event)"></td></tr></table><br></td></tr><tr><td valign="top"><table width="100%" border="0" cellpadding="0" cellspacing="0"><tr><td width="33%" align="left" valign="bottom"><font size="2" face="Arial" color="#ffffff"><b>&nbsp;&nbsp;Trip - </b></font></td><td width="15%" align="left" valign="bottom"><font size="2" face="Arial" color="#ffffff"><b>Cost 1</b></font></td><td width="1%">&nbsp;</td><td width="20%" valign="bottom" align="left"> <INPUT size="5" name="TripCost1" MAXLENGTH="5" style="width:42px" type="text" onKeyPress="return numbersonly(event)"></td><td width="31%" valign="bottom" align="left"><font size="2" face="Arial" color="#ffffff"><b>Cost 2</b></font><INPUT size="5" name="TripCost2" MAXLENGTH="5" style="width:42px" type="text" onKeyPress="return numbersonly(event)"></td></tr></table></td></tr></table><INPUT type="hidden" name="Age3"><INPUT type="hidden" name="Age4"><INPUT type="hidden" name="Age5"><INPUT type="hidden" name="TripCost3" ><INPUT type="hidden" name="TripCost4" ><input type="hidden" name="TripCost5" ><input type="hidden" name="ra"><input type="hidden" name="ta1"><input type="hidden" name="ta2"><input type="hidden" name="tc1"><input type="hidden" name="tc2"><input type="hidden" name="tl"><br><table width="100%" border="0" cellpadding="0" cellspacing="0"><tr><td valign="top" width="48%" align="left"><font size="2" face="Arial" color="#ffffff"><b>&nbsp;&nbsp;Coverage Period</b></font></td><td width="1%">&nbsp;</td><td width="51%" align="left"><INPUT size="2" name="TripLength" value="8" MAXLENGTH="3" type="text"><font size="1" face="Arial" color="#FFFFFF"><b>Days</b></font></td></tr><tr><td colspan="2" align="center" valign="middle"><input name="Submit" type="button" title="Compare several trip insurance policies and get a free online quote" value=" Get Quote! " onclick="validateTrip();"></td><td align="center" valign="middle"><input type="button" value="More Options" name="moreOption" onClick="gomaintrip();"></td></tr></table><br></div></form></td></tr></table>';


function validate(selectedForm,aType)
		{var flag=true,a,s,m,d,cm,cd;
				a=parseInt(selectedForm.Age.value,10);
				s=selectedForm.spouseAge&&selectedForm.spouseAge.value!=""?parseInt(selectedForm.spouseAge.value,10):0;
				if(selectedForm.MaxPolicyLimit)x=(selectedForm.MaxPolicyLimit.value).split("-");
				d=(selectedForm.Deductible.value).split("-");
				eighty=a>=80?true:false;
				msg70=a<=80||s<=80?" between 70 to 79 years":" 80 years and above";
				if(selectedForm.CountryofCitizenship)
				{if(selectedForm.CountryofCitizenship[0]&&selectedForm.CountryofCitizenship[1])ctz=selectedForm.CountryofCitizenship[0].checked==true?parseInt(selectedForm.CountryofCitizenship[0].value,10):parseInt(selectedForm.CountryofCitizenship[1].value);
				else ctz=selectedForm.CountryofCitizenship.value;}
				else ctz=2;
				if(selectedForm.monthsOfCoverage&&selectedForm.monthsOfCoverage.value==""){alert("Please provide proper value for months of coverage."); flag=false; selectedForm.monthsOfCoverage.focus(); return false;}
				if(selectedForm.daysOfCoverage&&selectedForm.daysOfCoverage.value==""){alert("Please provide proper value for days of coverage."); flag=false; selectedForm.daysOfCoverage.focus(); return false;}
				if(selectedForm.monthsOfCoverage)cm=parseInt(selectedForm.monthsOfCoverage.value,10);
				if(selectedForm.daysOfCoverage)cd=parseInt(selectedForm.daysOfCoverage.value,10);
				
				if(a==""||isNaN(a)||a<1||a>99)	{alert(aType+"\'s Age is mandatory and it should be in numeric format in the range 1-99.");
					 selectedForm.Age.focus();		 flag=false;	return false;}
				if(s!=""&&(isNaN(s)||s<18||s>99))	{alert("Spouse Age should be in numeric format in the range 18-99.");
					 selectedForm.spouseAge.focus();	 flag=false;	return false;	}
				if(cm>12||(cm==12&&cd>0)||(cm==11&&cd>31)||cm<0||cd<0||cd>31){alert("Coverage period should can be max up to 11 months and 31 days."); selectedForm.monthsOfCoverage.focus(); return false;}
				
				var restrict=["80-1--0--100000","80-2--0--100000","80-2--100--100000","80-1--250--100000","80-1--500--100000","80-1--1000--100000","80-1--2500--100000","80-2--500--100000","80-2--1000--100000","80-2--2500--100000","80-1--0--490000","80-1--100--490000","80-1--250--490000","80-1--500--490000","80-1--1000--490000","80-1--2500--490000","80-2--0--490000","80-2--100--490000","80-2--250--490000","80-2--500--490000","80-2--1000--490000","80-2--2500--490000","80-1--0--500000","80-1--100--500000","80-1--250--500000","80-1--500--500000","80-1--1000--500000","80-1--2500--500000","80-2--0--500000","80-2--100--500000","80-2--250--500000","80-2--500--500000","80-2--1000--500000","80-2--2500--500000","80-1--0--1000000","80-1--100--1000000","80-1--250--1000000","80-1--500--1000000","80-1--1000--1000000","80-1--2500--1000000","80-2--0--1000000","80-2--100--1000000","80-2--250--1000000","80-2--500--1000000","80-2--1000--1000000","80-2--2500--1000000","70-1--0--25000","70-2--0--25000","70-1--250--25000","70-1--500--25000","70-2--500--25000","70-1--1000--25000","70-2--1000--25000","70-1--2500--25000","70-2--2500--25000","70-2--0--100000","70-2--0--490000","70-2--100--490000","70-2--250--490000","70-2--500--490000","70-2--1000--490000","70-2--2500--490000","70-2--0--500000","70-2--100--500000","70-2--250--500000","70-2--500--500000","70-2--1000--500000","70-1--1000--500000","70-2--2500--500000","70-1--2500--500000","70-2--0--1000000","70-2--100--1000000","70-2--250--1000000","70-2--500--1000000","70-2--1000--1000000","70-2--2500--1000000","70-1--1000--1000000","70-1--2500--1000000"];
				k=restrict[2];
				for(var i=0; i<restrict.length; i++)
					{k=restrict[i];
					//alert("A_S-"+parseInt(k.substring(0,2))+" Ctz-"+parseInt(k.substring(3,4))+"D-"+k.substring(k.indexOf("--")+2,k.lastIndexOf("--"))+"X-"+k.substring(k.lastIndexOf("--")+2,k.length));
					if(( (eighty==true&&(a>=parseInt(k.substring(0,2))||s>=parseInt(k.substring(0,2)))&&parseInt(k.substring(0,2))==80)||(eighty==false&&(a>=parseInt(k.substring(0,2))||s>=parseInt(k.substring(0,2)))) )&&ctz==parseInt(k.substring(3,4))&&d[0]==parseInt(k.substring(k.indexOf("--")+2,k.lastIndexOf("--")))&&x[0]==parseInt(k.substring(k.lastIndexOf("--")+2,k.length)))
					{alert("None of the policy covers the travelers who are "+msg70+" , with maximum coverage of $"+k.substring(k.lastIndexOf("--")+2,k.length)+" and deductible $"+k.substring(k.indexOf("--")+2,k.lastIndexOf("--"))+".\n\nPlease change your selection and then click \"Get Quote\".");		 selectedForm.MaxPolicyLimit.focus(); flag=false; break;}
					}
		
			if(flag==true)	{//selectedForm.quote.disabled=true;
				 selectedForm.submit(); return true;}
		}
function numbersonly(e)
		{var unicode=document.all? e.keyCode : e.which;
		if(unicode!=8&&(unicode<48||unicode>57))return false ;
		}
function FixGender(g,w)
		{if(w=="p"){document.globalForm.sgender.value=g=="F"?"M":"F";}
		 if(w=="s"){document.globalForm.pgender.value=g=="F"?"M":"F";}
		}
		
function validateTrip()
		{var a1=document.tripForm.Age1.value, a2=document.tripForm.Age2.value, t1=document.tripForm.TripCost1.value, t2=document.tripForm.TripCost2.value;
		if(a1==""){alert("Please enter the age of the first traveler and then click Get Quote.");return false;}
		if(document.tripForm.CountryOfResidence.value==""){alert("Please select the correct place of residence.");	return false;}
		if((a1!=""&&t1=="")||(a1==""&&t1!="")){alert("Please enter the trip cost for the first traveler and then click Get Quote.");	return false;}
		if((a2!=""&&t2=="")||(a2==""&&t2!="")){alert("Please enter the trip cost for the second traveler and then click Get Quote.");	return false;}
		document.tripForm.submit();
		}

function gomain(selectedForm,a)
		{
		selectedForm.P.value=selectedForm.Age.value;
		selectedForm.S.value=selectedForm.spouseAge?selectedForm.spouseAge.value:0;
		selectedForm.mths.value=selectedForm.monthsOfCoverage.value;
		selectedForm.dys.value=selectedForm.daysOfCoverage.value;
		selectedForm.x.value=selectedForm.MaxPolicyLimit.value;
		if(selectedForm.CountryofCitizenship)
		{	if(selectedForm.CountryofCitizenship[0]&&selectedForm.CountryofCitizenship[1])
			selectedForm.us.value=selectedForm.CountryofCitizenship[0].checked==true?parseInt(selectedForm.CountryofCitizenship[0].value,10):parseInt(selectedForm.CountryofCitizenship[1].value);
			else selectedForm.us.value=selectedForm.CountryofCitizenship.value;}
		else selectedForm.us.value=2;
		selectedForm.action=a;
		selectedForm.submit();
		}
function gomaintrip()
		{
		document.tripForm.ra.value=document.tripForm.CountryOfResidence.value;
		document.tripForm.ta1.value=document.tripForm.Age1.value;
		document.tripForm.ta2.value=document.tripForm.Age2.value;
		document.tripForm.tc1.value=document.tripForm.TripCost1.value;
		document.tripForm.tc2.value=document.tripForm.TripCost2.value;
		document.tripForm.tl.value=document.tripForm.TripLength.value;
		//document.tripForm.us.value=document.tripForm.CountryofCitizenship[0].checked==true?document.tripForm.CountryofCitizenship[0].value:document.tripForm.CountryofCitizenship[1].value;
		document.tripForm.action="http://www.americanvisitorinsurance.com/insurance/trip-compare.asp";
		document.tripForm.submit();
		}
