Stacie – BPT Travel Protection Waiver Stacie - Back Pocket Travel Insurance Protection Waiver If you are human, leave this field blank. Full Name * Departure Date * Important Information regarding travel insurance. Please read this carefully. Now that you have arranged your trip, as professional travel agents we feel that it is our responsibility to recommend travel insurance to protect your investment. Details of the Travel Protection carefully in order to make an informed decision concerning this important matter. Ask us or call us with any questions you may have. AT THE TIME OF FIRST PAYMENT: I have been advised of the cancellation penalties for my purchase. I acknowledge receipt of the Travel Protection policy. I understand that Travel Protection 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. I understand that I must purchase Travel Protection immediately to obtain maximum coverage. AT THIS TIME, I CHOOSE (CHECK ONE): * To Purchase the Recommend Insurance To Decline the Recommend Insurance Today's Date * Signature * Draw It Type It Clear Submit
