Travel 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.

After being made aware of the need to purchase a travel insurance policy;

______ I’ve elected to purchase a policy.
______ I’ve elected not to purchase a policy

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: OTE: A CHARTER AGREEMENT AND CREDIT CARD PAYMENT CAN NOT BE PROCESSED UNLESS THIS FORM HAS BEEN 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