Conference QR Form

Event Contact Form

Is this for a group or individual?

Individual

Group

Main Insured’s Details:

First Name

Last Name

Age

Sex

Your Details:

First Name

Last Name

Spouse’s Details:

First Name

Last Name

Age

Sex

Children’s Details: (1 row per child)

Name	Age	Sex

Group Info:

Group Name

Background Info including number of people

What insurance you are looking for and why

Which date is good for us to follow up?

If you are in a country where language relating to Christianity could compromise your ministry, we will modify our communications

Other Info

How long you need insurance for?

More than 1 year

Less than 1 year

Passport Country

Country of Service

Do you need cover in the USA?

If you are in a country where language relating to Christianity could compromise your ministry, we will modify our communications

Mission Name

Name of event you are attending today

Additional Notes:

Please check here so we can send your quote and other relevant info like discounts and benefits. Your info is never shared outside TT.

Please check here so we can follow up. Your info is never shared outside Talent Trust.

Cookie	Duration	Description
_ga	2 years	The _ga cookie, installed by Google Analytics, calculates visitor, session and campaign data and also keeps track of site usage for the site's analytics report. The cookie stores information anonymously and assigns a randomly generated number to recognize unique visitors.
_gat_UA-4028953-1	1 minute	A variation of the _gat cookie set by Google Analytics and Google Tag Manager to allow website owners to track visitor behaviour and measure site performance. The pattern element in the name contains the unique identity number of the account or website it relates to.
_gid	1 day	Installed by Google Analytics, _gid cookie stores information on how visitors use a website, while also creating an analytics report of the website's performance. Some of the data that are collected include the number of visitors, their source, and the pages they visit anonymously.
_hjAbsoluteSessionInProgress	30 minutes	Hotjar sets this cookie to detect the first pageview session of a user. This is a True/False flag set by the cookie.
_hjFirstSeen	30 minutes	Hotjar sets this cookie to identify a new user’s first session. It stores a true/false value, indicating whether it was the first time Hotjar saw this user.
_hjid	1 year	This is a Hotjar cookie that is set when the customer first lands on a page using the Hotjar script.
_hjIncludedInPageviewSample	2 minutes	Hotjar sets this cookie to know whether a user is included in the data sampling defined by the site's pageview limit.
_hjTLDTest	session	To determine the most generic cookie path that has to be used instead of the page hostname, Hotjar sets the _hjTLDTest cookie to store different URL substring alternatives until it fails.
CONSENT	2 years	YouTube sets this cookie via embedded youtube-videos and registers anonymous statistical data.

Conference QR Form

const params = new URLSearchParams(window.location.search); const query = params.get('conference_name'); if(query) document.write(query);

Main Insured’s Details:

Your Details:

Spouse’s Details:

Children’s Details: (1 row per child)

Group Info:

Other Info

Success!