Cleveland Circle Travel Insurance Waiver
Cleveland Circle Travel wants to ensure you have a safe and worry free travel experience. For this reason we will need you to complete this form for all travel packages. We believe that your upcoming trip is a significant investment, which you should protect. We strongly recommend you purchase travel insurance. If you choose to decline this valuable protection, you are assuming any financial loss associated with your travel arrangements.
Please complete this form and return to your travel consultant by fax or mail.
Lead Traveler’s name:_____________________________
Travel Consultant’s name:__________________________
Travel Date:____/____/_____
Please place an X by your choice:
____ Yes, I choose to purchase travel insurance.
____ No, I decline to purchase travel insurance.
____ Please contact me with more insurance information.
1624 Beacon Street
Brookline, MA 02446
Phone: 617-734-2350 Fax: 617-738-0949
www.cctravel.com