EmailMe Form - 2023 - Travel Protection Waiver

Today's Date: *

MM / DD / YYYY

Which S2T Travel Advisor are you working with? *

Kim Curlin

Debbie Neuhofs

No Agent in Particular

Your Name: *

First Last

List full names of all Passengers on this Booking: *

Destination: *

Dates of Travel: *

Supplier: *

For Example: Walt Disney Travel Co, Apple Vacations, Funjet Vacations, Royal Caribbean

Trip Reservation/Confirmation Number: *

Starlight2Travel, Inc. recommends that you purchase travel insurance to protect yourself and other traveling on this booking from any unforeseen events as most health insurance policies will not cover you in a foreign country.

Your trip is a significant investment. If you choose to decline this valuable protection, you are assuming any financial loss associated with your travel arrangements. I have been informed of the cancellation policies for our travel services and have been made aware of the benefits of travel protection.

By declining to purchase travel insurance you fully understand that Starlight2Travel is not liable or responsible for any expenses incurred as a result of cancellation or interruption, emergency medical and transportation, baggage and personal effects, flight and travel accident, and/or rental car physical damage.

If you don’t think travel insurance is for you, please take a look at your passport. You’ll see the U.S. State Department recommends reviewing your health insurance before leaving the country because most policies (including Medicare) won’t cover you abroad. This means you will be responsible if you get sick or injured during your trip.

Insurance: *

Yes, I have Accepted & Already Purchased Travel Protection insurance

I choose to DECLINE travel protection insurance

I have received a quote; however, I still decline the option of purchasing Travel insurance and understand that if I cancel for any reason, including medical, all travelers will be subject to all penalties and fees that may occur. In addition, I also understand that I will not be covered for any events that may take place during my trip.

By declining to purchase travel insurance you fully understand that your travel agent is not liable or responsible for any expenses incurred as a result of cancellation or interruption, emergency medical and transportation, baggage and personal effects, flight and travel accident, and/ or rental car physical damage.

I have been informed of the cancellation policies for our travel services and have been made aware of the benefits of travel protection.

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