EmailMe Form - Travel Insurance Form

*The purchase of travel protection is recommended at the time of booking for optimum coverage

List full names and date of births of all Passengers: *

Destination: *

Dates of Travel: *

Trip Confirmation Number: *

Our recommendation is to purchase travel insurance to protect yourself from any unforeseen events as most health insurance policies will not cover you in a foreign country. 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: *

I accept travel insurance

I decline travel insurance

I have received a quote, however, I decline the option of purchasing Travel insurance and understand that if I cancel for any reason, including medical, I 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.

Please type in your initials: *

Signature *

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Date

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