Worldwide Expatriate Association
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Country of Citizenship:
Policyholder Age:
Policyholder Gender:
Spouse Age:
Spouse Gender:
Dependent Children:
Pay by Credit Card Pay by Check Pay by E-Check Pay by Wire Pay by EFT

Pay By E-Check

E-Check Instructions
Please enter the plan type, premium amount and select desired billing mode. If the WEA Global Plan is selected the system will automatically include the transaction fee ($5.00) in the total amount to be charged.

  Policy Number: 
  First Name: 
  Last Name: 
     
  Email: 
  Phone: 
     
  Premium Amount: 
  Billing Mode:  Monthly   Quarterly 
Semi-Annual   Annual
  Plan Type:  WEA Global Plan  
WEA Signature Plan
  Automatic Recurrent Billing:  Yes   No
     
  Billing Address: 
   
  City: 
  State: 
  Zip: 
  Country: 
     
 
Account Type:  eCheck Number Locations:
Routing Number: 
Account Number: 
Check Number: 
   
     
  Notes: 
     
     
  For a safe transaction, do not close the browser window, press the back or refresh buttons or disconnect until you get a message on your screen which states that the transaction is complete. To avoid being billed twice inadvertently, don't press any button more than once. Transactions may fail if the server of your credit card provider or bank is temporarily overloaded. If this occurs, you should retry the charging the card a few minutes later. You will receive a transaction confirmation by email.
     

© WORLDWIDE EXPATRIATE ASSOCIATION 2009.
All Rights Reserved.

Wea offers comprehensive expatriate medical cover for you and your family, international healthcare plans for your employees, and international healthcare plans for your clients.

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