Travel Insurance Inquiry Form

If you complete this Inquiry Form, we will provide you with a formal proposal that you can easily convert into an actual policy. If you have any questions or need clarification, feel free to e-mail us at Joel@SafariSamaritan.com.

  • This is the date you first made a payment on your safari or international air, whichever is earlier. Leave blank if you have not yet made a payment on either.
  • If you haven’t made the payment yet, enter at least an estimate for the final payment date.
  • For information regarding the fields below:

    • All travelers included in a single policy must be related and reside at the same address.
    • Include the non-refundable cost and the date of birth for each person on your policy.
    • Other than your name (previously entered), names of the other persons in your family travelling with you, can be entered when you purchase your policy.
    • If there are more than 4 persons in your party, enter their non-refundable costs and dates of birth in the comments field.
    • If you have any questions, put them in the comments field as well.
Solar Powered Lamps
Solar Powwered Lamp

In rural communities in Africa where many homes do not have electricity, solar powered lamps improve the daily lives of children and adults by providing clean and healthy lighting. This is accomplished by replacing dangerous, expensive, and polluting kerosene lamps with lamps powered by the sun. These solar lights enable children to study at night and adults to extend their workday, all the while eliminating carbon emissions, improving household health, and increasing a family’s standard of living.

As part of your customized safari your tour operator can arrange for you to make a stop at a local school, where you can personally donate the lamps. You can decide how many lamps you will like to donate and the cost will simply be added to the final payment of your safari. The lamps will be in your van as you leave on safari, ready for you to deliver. It’s that simple! You will be amazed how adding as little as 1% or 2% to the cost of your safari can make such a profound difference in the lives of children, and at the same time adding another great experience to your safari.

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