EmailMe Form - INSURANCE WAIVER

Name as it appear on your government ID *

First Last

Date of Departure: *

MM / DD / YYYY

Names of all travelers: *

WAIVING TRAVEL INSURANCE INFORMATION

AT THE TIME OF PAYMENT:

I have been advised of the cancellation penalties and the terms and conditions of the supplier for my purchase. I acknowledge receipt of these documents.

I understand that Travel Insurance can protect me from possible loss of money due to supplier bankruptcy/default, unexpected trip cancellation/interruption due to accident, sickness or death, baggage loss, medical expenses, and emergency air transportation costs.

I understand that I must purchase Travel Insurance immediately to obtain maximum coverage. *

At this time, I choose to decline the recommended insurance.

I understand the terms and conditions of my travel booking

Signature *

Clear

TODAY'S DATE: *

MM / DD / YYYY