Trip Insurance Waiver

1.To print this form, press the print button at the top of your browser window or select the 'file' menu and then 'print.' When you're finished printing, you may close this window to return to the Charter Sailing Unlimited site.


2. Select one of the following options.
______ I have reviewed the on-line Travel Guard Trip Insurance information and have decided to purchase one of their protection plans.
______ I have reviewed the on-line Travel Guard Trip Insurance information and have elected not to purchase travel protection.

3. Sign and date this form.

Signature: ...........__________________________________

Date:.................. __________________________________

Print Name: ....... __________________________________

Departure Date:...__________________________________

4. Fax this form to Charter Sailing Unlimited at 317-745-1923.

NOTE: A CHARTER AGREEMENT AND CREDIT CARD PAYMENT CAN NOT BE PROCESSED UNLESS THIS FORM IS FILLED OUT COMPLETELY AND RETURNED TO CHARTER SAILING UNLIMITED.

Charter Sailing Unlimited
75 Elizabeth Court Danville, IN 46122-1997
Phone: 888-856-8310 | 317-745-1990 | Fax: 317-745-1923