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To join our plan,
simply download the forms above, fill them in, sign and send them in to us! (see
options below on how to send them in).
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If you want to
add a child / children under the age of 18 to your plan, download
additional form/s from the "Add a child" link above.
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For each
additional adult you would like to insure (such as your spouse), it is
necessary to print out an additional set of forms.
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No matter how many adults and children you want to sign up, there is no need to
print out more than
one payment form from the set.
You can pay for everyone using a single "credit-card" payment form (or a
single check).
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Take the amount of days that you
(and those you are insuring with you) will be staying in Israel, and
multiply that by the
appropriate rate.
To view the
insurance rates,
click here.
(For example, if you're staying in Israel for 180 days, multiply 180 X $1 =
$180).
Click here
for a site that will help you calculate the exact amount of days between
two dates.
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On the payment form, please specify
for whom you are paying and how much the total amount comes out to be.
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Payments for a
full year may be divided into four. Please specify if you want to pay in
multiple payments. Please note however, that we often have difficulty
processing payments from over-seas credit cards. If we do not succeed in
processing multiple payments, we will need take the full payment at one
time. If this is a problem for you, please pay with a few checks
instead.
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If you will be paying by check, please write
it out to: "Ayalon Insurance Co" and mail it to the address
below (in option 3).
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Please note that if you pay by check, we cannot begin your insurance
coverage until the check arrives in the mail.
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How do you get the
forms to us? (There are three options).
Option 1)
Fax them to our office: Fax: 972-3-6399596
Option 2)
Scan them in and e-mail them to
atidbari@zahav.net.il
Option 3)
Mail the forms to the following address:
"Atid Bari"
2 Yegiyah Kapayim St.
Tel Aviv 67778
Israel
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Once the forms are received by our office, it takes only about 24 hours
to process them. Once they are processed, you receive a number in the
computer and are insured. The number is then printed on a temporary card
and mailed out to you. You should receive it within a few days. A
Magnetic Personalized card is then prepared by Leumit and mailed
out to you within 2-3 weeks.
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Once you are signed up, make sure to download our
information sheets. Print them out and keep them handy at all times,
especially in case of emergency.
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