Client Section - Client to complete
I understand that by not purchasing travel insurance as offered to me, I may be exposed to financial losses, including but not limited to:
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the cost of my trip if I must cancel,
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the unknown costs of trip interruption and travel delay,
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additional single supplement cost if I choose to still travel if my travelling companion cancels,
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out of province medical care expenses.
I have declined travel insurance coverage for the following:
By entering my initials in this box and/or signing this document and entering the date, I will not hold my travel agent / travel consultant responsible for any expenses I incur as a result of my choice NOT TO purchase travel insurance.
