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Travel Insurance Form
First Name
Last Name
Date of Departure
Your Email
AT THE TIME OF FIRST PAYMENT:
Destination
I have been advised of the cancellation penalties for my purchase.
I understand that travel insurance can protect me from possible loss of money due to supplier bankruptcy/default, unexpected trip cancellation/in terruption 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.
Do you accept the recommended insurance?
Select one...
Yes, I accept
No, I decline
I hereby acknowledge that I am digitally signing this FORM by choosing to agree below.
Agree
Thank you! Your submission has been received!
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Travel Advisor in Plattsburgh, NY