Execute this disclaimer in duplicate, with one copy to be
maintained by the agency and the other given to the client.
While you may have some protection if the disclaimer is not
signed, but forwarded to the party, you get the best protection if
the disclaimer has been signed by the client and witnessed by an
agency employee, with each party keeping a copy.
If married clients are traveling together, one party can execute
the disclaimer for both. If the traveling companions are not
married, use separate disclaimers for each person.
Disclaimer
In offering the sale of _______________ (tour, cruise),
____________ Travel Agency strongly recommends you purchase
insurance coverage which will provide coverage against many
different potential problems that could affect the trip.
Our staff is ready, willing and able to answer any question you
may have concerning this disclaimer or to obtain answers for you
with regard to the insurance, if they are not readily available.
Agency policy requires our clients to either accept the insurance
or sign this disclaimer that it has been offered and declined.
I [We] hereby acknowledge receipt of a copy of this disclaimer
and further state that I [we] understand its terms and provisions.
I [We] also acknowledge that any questions I [we] had concerning
this disclaimer have been answered to my [our] full satisfaction. I
[We] further understand and acknowledge that I [we] am/are under no
obligation to sign this disclaimer, but having signed it, am/are
bound to its terms.
Signed:___________________________________________
Dated: ___________________________________________
Witness:__________________________________________