Membership Type
Personal Details
Billing Information
Purchase Summary
Membership Type
Personal Details
Billing Information
Purchase Summary
Price:
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Number of Travelers to Cover (Example: 10)
Which travel assistance membership would you like?
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CAP™ (
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CAP™ with CAP™+ Medical (
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Date of Departure
For how many days?
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5 Days
10 Days
14 Days
21 Days
30 Days
Where are you going? (click again to pick more countries)
Afghanistan
Akrotiri
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Ashmore and Cartier Islands
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Bassas da India
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burma
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Clipperton Island
Cocos (Keeling) Islands
Colombia
Comoros
Democratic Republic of the Congo
Republic of the Congo
Cook Islands
Coral Sea Islands
Costa Rica
Cote d' Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Dhekelia
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Europa Island
Falkland Islands (Islas Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern and Antarctic Lands
Gabon
The Gambia
Gaza Strip
Georgia
Germany
Ghana
Gibraltar
Glorioso Islands
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea - Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Jan Mayen
Japan
Jersey
Jordan
Juan de Nova Island
Kashmir
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kurdistan
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Federated States of Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Namibia
Nauru
Navassa Island
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paracel Islands
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Spratly Islands
Sri Lanka
Sudan
Suriname
Svalbard
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor - Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tromelin Island
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands
Wake Island
Wallis and Futuna
West Bank
Western Sahara
Zambia
Zimbabwe
Manager
First Name
Last Name
Email
Address
City
Country
Aruba
Afghanistan
Angola
Anguilla
Albania
Andorra
Netherlands Antilles
United Arab Emirates
Argentina
Armenia
American Samoa
Antarctica
French Southern territories
Antigua and Barbuda
Australia
Austria
Azerbaijan
Burundi
Belgium
Benin
Burkina Faso
Bangladesh
Bulgaria
Bahrain
Bahamas
Bosnia and Herzegovina
Belarus
Belize
Bermuda
Bolivia
Brazil
Barbados
Brunei
Bhutan
Bouvet Island
Botswana
Central African Republic
Canada
Cocos (Keeling) Islands
Switzerland
Chile
China
Cote d'Ivoire
Cameroon
Congo, The Democratic Republic
Congo
Cook Islands
Colombia
Comoros
Cape Verde
Costa Rica
Cuba
Christmas Island
Cayman Islands
Cyprus
Czech Republic
Germany
Djibouti
Dominica
Denmark
Dominican Republic
Algeria
Ecuador
Egypt
Eritrea
Western Sahara
Spain
Estonia
Ethiopia
Finland
Fiji Islands
Falkland Islands
France
Faroe Islands
Federated States of Micronesia
Gabon
United Kingdom
Georgia
Ghana
Gibraltar
Guinea
Guadeloupe
Gambia
Guinea-Bissau
Equatorial Guinea
Greece
Grenada
Greenland
Guatemala
French Guiana
Guam
Guyana
Hong Kong
Heard Island and McDonald Isla
Honduras
Croatia
Haiti
Hungary
Indonesia
India
British Indian Ocean Territory
Ireland
Iran
Iraq
Iceland
Israel
Italy
Jamaica
Jordan
Japan
Kazakstan
Kenya
Kyrgyzstan
Cambodia
Kiribati
Saint Kitts and Nevis
South Korea
Kuwait
Laos
Lebanon
Liberia
Libyan Arab Jamahiriya
Saint Lucia
Liechtenstein
Sri Lanka
Lesotho
Lithuania
Luxembourg
Latvia
Macao
Morocco
Monaco
Moldova
Madagascar
Maldives
Mexico
Marshall Islands
Macedonia
Mali
Malta
Myanmar
Mongolia
Northern Mariana Islands
Mozambique
Mauritania
Montserrat
Martinique
Mauritius
Malawi
Malaysia
Mayotte
Namibia
New Caledonia
Niger
Norfolk Island
Nigeria
Nicaragua
Niue
Netherlands
Norway
Nepal
Nauru
New Zealand
Oman
Pakistan
Panama
Pitcairn
Peru
Philippines
Palau
Papua New Guinea
Poland
Puerto Rico
North Korea
Portugal
Paraguay
Palestine
French Polynesia
Qatar
Réunion
Romania
Russian Federation
Rwanda
Saudi Arabia
Sudan
Senegal
Singapore
South Georgia and the South Sandwich Islands
Saint Helena
Svalbard and Jan Mayen
Solomon Islands
Sierra Leone
El Salvador
San Marino
Somalia
Saint Pierre and Miquelon
Sao Tome and Principe
Suriname
Slovakia
Slovenia
Sweden
Swaziland
Seychelles
Syria
Turks and Caicos Islands
Chad
Togo
Thailand
Tajikistan
Tokelau
Turkmenistan
East Timor
Tonga
Trinidad and Tobago
Tunisia
Turkey
Tuvalu
Taiwan
Tanzania
Uganda
Ukraine
United States Minor Outlying Islands
Uruguay
United States
Uzbekistan
Holy See (Vatican City State)
Saint Vincent and the Grenadin
Venezuela
Virgin Islands, British
Virgin Islands, U.S.
Vietnam
Vanuatu
Wallis and Futuna
Samoa
Yemen
Yugoslavia
South Africa
Zambia
Zimbabwe
State/Province
Zip/Postal Code
Primary Phone
Secondary Phone
Billing Information
Credit Card Number
CVC
Expiration date:
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2028
2029
2030
2031
2032
2033
2034
2035
Coupon Code
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Membership Receipt
Additional Email
Who will receive the membership password/receipt email?
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Traveller and Additional Email
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CAP Membership Rules & Regulations