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Travel Insurance Acceptance/Declination Form

Effective Date: Date of Electronic Signature


TRAVEL INSURANCE NOTICE

Travel insurance can help protect against certain unforeseen events including trip cancellations, interruptions, travel delays, medical emergencies, emergency transportation, and lost or delayed baggage.

Coverage varies by policy and provider. Zensseys strongly recommends that all travelers consider travel insurance.

INSURANCE ELECTION (Please select one option)
I would like information and pricing for available travel insurance options.
I would like to purchase travel insurance for this trip.
I already have travel insurance coverage through another provider.
I decline travel insurance and understand I may be responsible for any financial losses, penalties, medical expenses, cancellations, delays, or other travel-related costs not covered by a policy.

CLIENT ACKNOWLEDGEMENT

By signing below, I acknowledge that travel insurance has been offered and recommended for this trip and that I have voluntarily made my selection above.

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