The cost of the policy is $2.95 per day, for the maximum of 30 days. Minimum cost is $10.00 and maximum is $30.00 per person, per trip.
Please enter the following information to purchase policy for your trip.
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First Name:*
Last Name:*
Gender:*
Date of birth day/month/year:*    
Staying in Ukraine from:*
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Email Address:
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