DECLINED TRAVEL INSURANCE

Name of Lead Traveler: *

First Name

Last Name

Date of Departure: *

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DD

YYYY

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I have been offered and advised of travel insurance options and fees by my travel advisor, Averie Borgaro of Inspired Luxe Travel, LLC.

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I decline the offer to purchase travel insurance for the trip listed above.

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I understand that I am solely responsible for any cancellation penalties and out-of-pocket expenses incurred.

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I will make my own separate travel, medical and any other provisions in the event of an emergency while I am traveling.

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I understand that I am not protected from loss in the event of any travel vendor, travel supplier, or any other travel-related operator default.

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I understand I am solely liable for all airline fees, supplier fees, and agency fees that may apply.

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I understand this document and all consequences resulting from my decision to decline travel insurance.

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By typing my full name in the box below and submitting this form, I hereby release TRAVEL EXPERTS, INC. and its agents (i.e. Averie Borgaro of Inspired Luxe Travel, LLC) from any and all liability related to the trip listed above.