EmailMeForm
Insurance Waiver/OPTION FORM-IMPORTANT
Now that you have arranged your trip, as a professional travel agent it is my responsibility to recommend travel insurance to protect your investment. Please read the information below and carefully make an informed decision
concerning this important matter.
Sunbreeze Travel recommends that you purchase travel insurance to protect yourself from any unforeseen events as most health insurance policies will not cover you in a foreign country. 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.
Name of Primary (Lead) Traveler
*
First
Last
Names of all those traveling (excluding lead/primary traveler)
*
Type N/A if applicable
Date of Departure
AT THE TIME OF FIRST PAYMENT:
I have been advised of the cancellation penalties for my purchase. I agree and understand that if I do not purchase Vacation Protection Insurance and subsequently cancel my purchase, I will forfeit all money deposited up to the time of cancellation.
*
Initials
I understand that insurance may not 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. Full coverage will be explained in writing by the supplier of the insurance.
*
Initials
I understand that I must purchase travel insurance immediately to obtain maximum coverage.
*
Initials
I acknowledge receipt of travel insurance brochures and/or supplier insurance information and coverage. Received electronically, in person or by mail.
*
Initials
I understand that if I purchase travel insurance the cost of the travel insurance is non-refundable.
*
Initials
AT THIS TIME, I CHOOSE: (CHECK ONE)
SELECT ONE
*
Please select
To request a QUOTE for insurance
To decline the recommended insurance
Signature
Type in Full Name as Consent and Agreement to Insurance choices selected
