EmailMeForm
D-TRAVEL PROTECTION Decline:
PLEASE REVIEW CAREFULLY>>>
As Primary Traveler for my reservation, I understand that by completing and submitting this form, I am acknowledging that I've been offered, received and reviewed insurance information. I understand that Travel Protection Insurance can shield me from possible loss of money due to: supplier bankruptcy/default, unexpected trip cancellation due to accident, illness, or death. I understand insurance policies can provide coverage for lost baggage, delay of travel, medical expenses and emergency air transit.
I understand that I must purchase Travel Protection Insurance within 10 days of booking for maximum coverage and benefits, including Cancel For Any Reason and for Pre-exisiting Medical Conditions; you can purchase reduced coverage up to 48 hours prior to departure.
I understand, If selected; I must purchase a policy and I am financially responsible for this booking.
Reservation Number:
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Destination:
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Today's Date:
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Departure Date:
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Return Date:
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Traveler #1 Name:
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First
MI
Last
Traveler #2 Name:
First
MI
Last
Declined Travel Protection
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DECLINE: I acknowledge that I have received Travel Insurance information and quote; I am WAIVING access to these coverage provisions by DECLINING to purchase the travel insurance offered by LS Travel Agency for my travel plans.
Traveler #1 Signature:
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Clear
I am responsible for all name(s) listed above on the decision selected for travel insurance.
Traveler #2 Signature:
Clear
I am responsible for all name(s) listed above on the decision selected for travel insurance.
Lisa Streater ~ LS Travel Agency
Phone: 301-246-2496
Email: info@lstravels.com
Web: www.lstravels.com