Travel Insurance Form

By law, I am required to offer travel insurance coverage. For this reason, I require that all of my clients to complete, sign and submit this Travel Insurance Form. This form indicates that you have been offered travel insurance, and should you chose not to purchase travel insurance you accept all responsibility.

In life, you never really know what may happen… but you can rely on the Vacation Protection trip cancellation. If you need to cancel for some of the most common reasons (severe weather, illness, etc.) you'll get 100% of the cost of your trip back, in cash. If you need to cancel for any reason not listed in the plan — any reason at all — you'll get 75% back in a Future Cruise Credit Certificate.

Trip Interruption: Up to total Trip cost reimbursement if you must start your vacation late or need to come home early due to illness, injury and more.
Baggage: Up to $1,500 if your stuff is lost, stolen or damaged, and up to $500 reimbursement if you have to buy necessary items while your bags are delayed 24+ hours
Medical: Up to $10,000 if you get sick or injured on your vacation
Emergency Evacuation: Up to $30,000 for emergency medical evacuation and repatriation (services provided by LiveTravel).

Please sign this acknowledgement to accept or decline the Travel Insurance that is being offered to you.*

YES, I want to purchase Travel Insurance at this time. I will have coverage for the duration of my cruise.NO, I do not want to purchase Travel Insurance, and assume all responsibility.

Full Name*

First NameLast Name

Phone Number*

Area CodePhone Number

E-mail*

I have been advised of the cancellation penalties along with the terms and conditions of the supplier for my purchase. I acknowledge receipt of these documents. I understand that Travel Insurance can 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.

Please use your mouse, stylus or finger to sign below. Thank you!

Signature

Signature Date:

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Please understand that your booking can not be processed before you have complete and submit this form.