Insurance Waiver

INSURANCE WAIVER

Please be advised:
Your Mayne 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 and submit via email to Mayne Travel Services Ltd. Your preferences will be noted on your travel file for the trip and departure date as indicated on our files.

If you need additional information,
please contact your Mayne Travel Advisor or get a quote now.

Insurance Waiver

* Indicates required field

My Mayne Travel Advisor for this Trip *

Traveller's Name *

First

Last

Traveller's Date of Birth *

Email *

Trip Name or Description *

Trip Departure Date *

Daytime Telephone Number *

Traveller's Home Address *

Line 1

Line 2

City

State

Zip Code

Country

Comments *

Insurance Waiver Statement *

I decline to purchase any travel insurance plans that my travel advisor has offered and explained to me for this trip.

Submit

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Mayne Travel Services Ltd.
173 Main Street West
North Bay, Ontario
Canada P1B 2T6

Telephone (705) 474-1532
Email [email protected]
www.maynetravel.com