
var formId=new Array();
formId["VisitorTravel"]='<form method="post" name="visitorForm" action="http://www.americanvisitorinsurance.com/insurance/visitors-medical-summary.asp"><br><table width="93%" align="center" bgcolor="#4C6191" border="0" bordercolor="#263964" style="border:ridge"><tr><td height="38" colspan="2" align="center" bgcolor="#263964"><font color="#FFFFFF" size="3"><b>Visitor Medical Insurance</b></font></td></tr><tr><td width="56%" height="29" align="left" valign="middle"><font size="2" face="Arial" color="#FFFFFF">&nbsp;<b>Traveler\'s age</b></font></td><td width="44%" align="left"><input size="2" name="Age" onKeyPress="return numbersonly(event);" maxlength="2"><font face="Arial, Helvetica, sans-serif" size="2" color="#FFFFFF"> years</font></td></tr><tr><td width="56%" height="29" align="left" valign="middle"><font size="2" face="Arial" color="#FFFFFF">&nbsp;<b>Traveler\'s spouse age &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></font></td><td width="44%" align="left"><input size="2" name="spouseAge" onKeyPress="return numbersonly(event);" maxlength="2"><font face="Arial, Helvetica, sans-serif" size="2" color="#FFFFFF"> years</font>											</td></tr><tr><td width="56%" height="29" align="left" valign="middle"><font size="2" face="Arial" color="#FFFFFF">&nbsp;<b>Max Coverage Amount</b></font>												</td><td width="44%" align="left"><select name="MaxPolicyLimit" size="1"><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 width="56%" height="29" align="left" valign="middle" style="border-right:0"><font size="2" face="Arial" color="#FFFFFF">&nbsp;<b>Travel Period</b></font>												</td><td width="44%" align="left"><input type="text" name="monthsOfCoverage" style="width:20px" value="1" maxlength="2"><font face="Arial, Helvetica, sans-serif" size="2" color="#FFFFFF"> months</font><input type="text" name="daysOfCoverage" style="width:20px" value="0" maxlength="2"><font face="Arial, Helvetica, sans-serif" size="2" color="#FFFFFF"> days</font>												</td></tr><tr><td height="29" align="left" valign="middle" style="border-right:0"><font size="2" face="Arial" color="#FFFFFF">&nbsp;<b>Country of Citizenship</b></font></td><td align="left" colspan="1"><input type="radio" checked="checked" name="CountryofCitizenship" value="2" onClick="document.visitorForm.CountryforCoverage.value=1;"><font face="Arial, Helvetica, sans-serif" size="2" 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="2" color="#FFFFFF">USA</font></td></tr></table><table width="93%" 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">	<br></td></tr><tr><td align="right">&nbsp;&nbsp;<input type="button" name="quote" value=" Get Quote " height="50px" onClick="validate(document.visitorForm,\'Visitor\');">												</td><td align="left">&nbsp;&nbsp;<input type="button" name="quote" value=" More Option "  onclick="location.href=\'http://www.americanvisitorinsurance.com/insurance/visitors-medical-compare.asp\';"></td></tr></table></form>';


formId["GlobalHealth"]='<form method="post" name="globalForm" action="http://www.americanvisitorinsurance.com/insurance/global-travel-summary.asp"><br><table width="93%" align="center" bgcolor="#4C6191" border="0" bordercolor="#263964" style="border:ridge"><tr><td height="38" colspan="4" align="center" bgcolor="#263964"><font color="#FFFFFF" size="3"><b>Global Health Insurance</b></font></td></tr><tr><td width="55%" valign="middle" align="left" height="29">&nbsp;<font size="2" face="Arial" color="#FFFFFF"><b>Applicant\'s age</b></font></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" color="#FFFFFF">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><td valign="middle" align="left" height="29">&nbsp;<font size="2" face="Arial" color="#FFFFFF"><b>Applicant\'s Spouse age</b></font> <font size="1" face="Arial" color="#FFFFFF">(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" color="#FFFFFF">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><td valign="middle" align="left" height="29">&nbsp;<font size="2" face="Arial" color="#FFFFFF"><b>Deductible amount</b></font></td><td colspan="3" align="left"><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></tr><tr><td valign="middle" align="left" height="29">&nbsp;<font size="2" face="Arial" color="#FFFFFF"><b>Country of citizenship</b></font></td><td colspan="3" align="left"><input type="radio" checked="checked" name="CountryofCitizenship" value="2"><font color="#FFFFFF">Non USA</font><input type="radio" name="CountryofCitizenship" value="1"><font color="#FFFFFF">USA</font></td></tr><tr><td valign="middle" align="left" height="29">&nbsp;<font size="2" face="Arial" color="#FFFFFF"><b>Where coverage is required</b></font></td><td colspan="3" align="left"><select style="width:200px; 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></table><table width="93%" border="0" cellpadding="0" cellspacing="0"><tr valign="top"><td colspan="4" align="center"><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"><br></td></tr><tr><td align="right">&nbsp;&nbsp;<input type="button" name="quote" value=" Get Quote " onClick="validateGlobal(); return false;">										</td><td align="left">&nbsp;&nbsp;<input type="button" name="quote" value=" More Option "  onclick="location.href=\'http://www.americanvisitorinsurance.com/insurance/global-travel-compare.asp\';"></td></tr></table></form>';

formId["StudentMedical"]='<form method="post" name="studentForm" action="http://www.americanvisitorinsurance.com/insurance/students-medical-summary.asp"><br><table width="93%" align="center" bgcolor="#4C6191" border="0" bordercolor="#263964" style="border:ridge"><tr><td height="38" colspan="2" align="center" bgcolor="#263964"><font color="#FFFFFF" size="3"><b>Student Medical Insurance</b></font></td></tr><tr><td width="56%" height="29" align="left" valign="middle"><font size="2" face="Arial" color="#ffffff">&nbsp;<b>Student\'s age</b></font> </td><td width="44%" align="left"><input size="2" name="Age" onKeyPress="return numbersonly(event);" maxlength="2"></td></tr><tr><td valign="middle" align="left" height="29"><font size="2" face="Arial" color="#ffffff"><b>&nbsp;Student&rsquo;s spouse age</b></font> </td><td align="left"><input size="2" name="spouseAge" onKeyPress="return numbersonly(event);" maxlength="2"></td></tr><tr><td valign="middle" align="left" height="29"><br><font size="2" face="Arial" color="#ffffff"><b>&nbsp;Maximum coverage</b></font> </td><td align="left"><select name="MaxPolicyLimit" size="1" style="width:125px"><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="middle" align="left" height="29"><font size="2" face="Arial" color="#ffffff"><b>&nbsp;Coverage Period</b></font></td><td align="left"><font size="2" face="Arial" color="#ffffff"><input type="text" value="1" name="monthsOfCoverage" style="width:20px" size="1" maxlength="2">months<input type="text" value="0" name="daysOfCoverage" style="width:20px" size="1" maxlength="2">days</font> </td></tr><tr><td valign="middle" align="left" height="29"><font size="2" face="Arial" color="#ffffff">&nbsp;<b>Country of Citizenship</b></font></td><td align="left"><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><table width="93%" border="0" cellpadding="0" cellspacing="0"><tr><td height="10" align="center" colspan="2"><input type="hidden" name="NumberOfChildren" value="0"><input type="hidden" name="Deductible" value="50-100"><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></td></tr><tr><td align="right">&nbsp;&nbsp;<input type="button" name="quote" value=" Get Quote " onClick="validate(document.studentForm,\'Student\'); return false;">											</td><td align="left">&nbsp;&nbsp;<input type="button" name="quote" value=" More Option "  onclick="location.href=\'http://www.americanvisitorinsurance.com/insurance/students-medical-compare.asp\';"></td></tr></table></form>';

formId["Immigrant"]='<form method="post" name="immigrantForm" action="http://www.americanvisitorinsurance.com/insurance/immigrant-summary.asp"><br><table width="93%" align="center" bgcolor="#4C6191" border="0" bordercolor="#263964" style="border:ridge"><tr><td height="38" colspan="2" align="center" bgcolor="#263964"><font color="#FFFFFF" size="3"><b>US Immigrant Insurance</b></font></td></tr><tr><td valign="middle" width="56%" height="29" align="left"><font size="2" face="Arial" color="#ffffff">&nbsp;<b>Immigrant\'s Age</b></font> </td><td width="44%" align="left"><input size="2" name="Age" onKeyPress="return numbersonly(event);" maxlength="2"></td></tr><tr><td valign="middle" height="29" align="left"><font size="2" face="Arial" color="#ffffff"><b>&nbsp;Immigrant Spouse\'s Age</b></font><font size="1" face="Arial" color="#ffffff">&nbsp;(if reqd.)</font><br><td align="left"><input size="2" name="spouseAge" onKeyPress="return numbersonly(event);" maxlength="2"></td></tr><tr><td valign="middle" height="29" align="left"><font size="2" face="Arial" color="#ffffff"><b>&nbsp;Maximum coverage</b></font></td><td align="left"><select name="MaxPolicyLimit" size="1" style="width:105px"><option value="25000">$25,000 or less &nbsp;&nbsp;&nbsp;</option><option value="50000">$50,000</option><option selected value="100000">$100,000</option><option value="250000">$250,000</option><option value="500000">$500,000</option><option value="1000000">$1,000,000</option></select></td></tr><tr><td valign="middle" height="29" align="left"><strong><font size="2" face="Arial" color="#ffffff">&nbsp;Country of Citizenship</font></strong></td><td align="left"><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></table><table width="93%" border="0" cellpadding="0" cellspacing="0"><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"><br></td></tr><tr><td align="right">&nbsp;&nbsp;<input type="button" name="quote" value=" Get Quote " onClick="validate(document.immigrantForm,\'Immigrant\'); return false;">											</td><td align="left">&nbsp;&nbsp;<input type="button" name="quote" value=" More Option "  onclick="location.href=\'http://www.americanvisitorinsurance.com/insurance/immigrant-compare.asp\';"></td></tr></table></form>';

formId["jvisa"]='<form method="post" name="jvisaForm" action="http://www.americanvisitorinsurance.com/insurance/j1visa-summary.asp"><br><table width="90%" align="center" bgcolor="#4C6191" border="0" bordercolor="#263964" style="border:ridge"><tr><td height="38" align="center" bgcolor="#263964" colspan="4"><font color="#FFFFFF" size="3"><b>J Visa Insurance</b></font> </td></tr><tr><td width="56%" align="left" height="31" valign="middle"><font size="2" face="Arial" color="#ffffff">&nbsp;&nbsp;<b>J1 Visa holder\'s Age</b></font> </td><td width="44%" align="left"><input size="2" name="Age" onKeyPress="return numbersonly(event);" maxlength=2 ><input type="hidden" name="NumberOfChildren" value="0"><input type="hidden" name="Deductible" value="50-100"><input type="hidden" name="MailingAddress" value="2"></td></tr><tr><td height="31" valign="middle" align="left"><font size="2" face="Arial" color="#ffffff"><b>&nbsp;&nbsp;Spouse\'s Age</b></font>&nbsp;&nbsp;<font face="Arial, Helvetica, sans-serif" size="1" color="#ffffff">(if reqd.)</font> </td><td align="left"><input size="2" name="spouseAge" onKeyPress="return numbersonly(event);" maxlength="2"></td></tr><tr><td height="31" valign="middle" align="left"><font size="2" face="Arial" color="#ffffff"><b>&nbsp;&nbsp;Maximum coverage</b></font> </td><td align="left"><select name="MaxPolicyLimit" size="1" style="width:135px"><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 height="31" valign="middle" align="left"><font size="2" face="Arial" color="#ffffff"><b>&nbsp;&nbsp;Are You Registered for Courses?</b></font></td><td align="left"><select name="Course" size="1"><option selected value="1">YES</option><option value="0">NO</option></select></td></tr></table><table width="90%" border="0" cellpadding="0" cellspacing="0" align="center"><tr valign="middle" bgcolor="#f0f8ff"><td colspan="4" align="center" bgcolor="#f0f8ff" ><input type="hidden" name="NumberOfChildren2" value="0"><input type="hidden" value="1" name="monthsOfCoverage"><input type="hidden" value="0" name="daysOfCoverage"><input type="hidden" name="Deductible2" value="50-100"><input type="hidden" name="MailingAddress2" value="2"><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></td></tr><tr><td align="right">&nbsp;&nbsp;<input type="button" name="quote" value=" Get Quote " onClick="validate(document.jvisaForm,\'J1Visa\'); return false;"></td><td align="left">&nbsp;&nbsp;<input type="button" name="quote" value=" More Option "  onClick="location.href=\'http://www.americanvisitorinsurance.com/insurance/j1visa-compare.asp\';"></td></tr></table></form>';

formId["Europe"]='<form method="post" name="europeform" action="http://www.americanvisitorinsurance.com/insurance/europe-travel-summary.asp"><br><table width="90%" align="center" bgcolor="#4C6191" border="0" bordercolor="#263964" style="border:ridge"><tr><td height="38" align="center" bgcolor="#263964" colspan="4"><font color="#FFFFFF" size="3"><b>Europe / Schengen Visa Insurance</b></font> </td></tr><tr><td width="50%" height="31" align="left" valign="middle"><font size="2" face="Arial" color="#ffffff">&nbsp;&nbsp;<b>Visitor\'s age</b></font> </td><td width="48%" align="left"><input size="2" name="Age" onKeyPress="return numbersonly(event);" maxlength="2"></td></tr><tr><td height="31" valign="middle" align="left"><font size="2" face="Arial" color="#ffffff"><b>&nbsp;&nbsp;Spouse\'s age</b></font> </td><td align="left"><input size="2" name="spouseAge" onKeyPress="return numbersonly(event);" maxlength="2"></td></tr><tr><td height="31" valign="middle" align="left"><font size="2" face="Arial" color="#ffffff"><b>&nbsp;&nbsp;Maximum coverage</b></font> </td><td align="left"><select name="MaxPolicyLimit" size="1"><option selected value="50000">$50,000</option><option value="100000">$100,000</option><option value="250000">$250,000</option><option value="500000">$500,000</option><option value="1000000">$1,000,000</option></select></td></tr><tr><td height="31" valign="middle" align="left"><font size="2" face="Arial" color="#ffffff"><b>&nbsp;&nbsp;Coverage Period</b></font> </td><td align="left"><input type="text" name="monthsOfCoverage" size="2" value="0" maxlength="2"><font size="1" face="Arial" color="#ffffff">&nbsp;months&nbsp;&nbsp;</font><input type="text" name="daysOfCoverage" size="2" value="14" maxlength="2"><font size="1" face="Arial" color="#ffffff">&nbsp;days&nbsp;</font> </td></tr></table><table width="90%" border="0" cellpadding="0" cellspacing="0" align="center"><tr valign="middle"><td colspan="4" align="center"><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"><br></td></tr><tr><td align="right">&nbsp;&nbsp;<input type="button" name="quote" value=" Get Quote " onClick="validate(document.europeform,\'Europe\'); return false;"></td><td align="left">&nbsp;&nbsp;<input type="button" name="quote" value=" More Option "  onClick="location.href=\'http://www.americanvisitorinsurance.com/insurance/europe-travel-compare.asp\';"></td></tr></table></form>';

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