Cheri Ramberg

519 848 2566 or 519 831 7928

Insurance Waiver

Your travel advisor is obligated to offer you travel insurance. If you choose to waive the travel insurance that they have offered you, please complete the following form.

All fields marked with asterisk* are mandatory

Trip Information

Traveler's Names:
Your name should read as stated in your passport

Contact Information

Date: May 21, 2018

You must decline travel insurance to submit this form.