Registration

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Purchase Travel Insurance? *:

By submitting, you certify that you are the cardholder and are authorizing Main Street Travel, LLC or its chosen Tour Operator/Supplier/Cruise Line to charge the listed amount to the credit card. You certify that you have verified that all information contained in the confirmation you received is accurate. You certify you have read the Terms & Conditions, you've been advised of all Change/Cancellation Penalties, and the appropriate Travel Protection Plan details if you've purchased travel insurance. Insurance purchases are NON REFUNDABLE. You also certify that you understand that Main Street Travel, LLC is acting in an advocate position only. This charge will be manually applied by the agency to your reservation. If there are any issues, an agent will contact you. Please note that you may not see a charge from Main Street Travel, LLC on your credit card statement; the charge will come from the supplier and/or the airline directly. Payment may take 3-5 business days to fully process and be reflected on your statement. I authorize Main Street Travel, LLC and/or the chosen vacation supplier to use the above information to charge my credit card the stated amount. Completion of this form and the initialing of this box signifies acceptance in lieu of my signature. I agree that my Main Street Travel, LLC Travel Planner has informed me of all change & cancellation policies. I understand that Main Street Travel, LLC does not make the cancellation and change rules, the selected resort or travel supplier makes the cancellation/change rules. It is your responsibility to ensure that your Passports/Identification, Visa requirements, etc meets the receiving country's requirements. I agree and understand, COVID-19 exists in any public place where people are present. COVID-19 is an extremely contagious disease that can lead to severe illness and death. According to the Centers of Disease Control and Prevention, senior citizens and individuals with underlying medical conditions are especially vulnerable. By booking travel plans with Main Street Travel, LLC, you voluntarily assume all risks related to exposure to COVID-19. I understand that COVID-19 is now a forseen event. Travel Insurance will not cover any cancellations or changes related to COVID-19. Main Street Travel, LLC highly recommends the purchase of Travel Insurance with an additional Cancel for any Reason Waiver. Ask your travel planner for details if you wish to consider a policy. If DECLINING TRAVEL INSURANCE:YOU AGREE TO THESE TERMS: I decline the offer to purchase travel protection/trip insurance. I understand that I am solely responsible for any cancellation penalties and out-of-pocket expenses incurred. I will also make my own separate travel, medical and any other provisions in the event of an emergency while I am traveling. I also understand that I am not protected from loss in the event of any travel vendor, travel supplier or any travel-related operator default. This waiver confirms that I voluntarily decline travel insurance and travel protection insurance for the trip described above. I understand I am solely liable for all airline fees, supplier fees, and agency fees that may apply. I assume and understand that there is a risk involve with my travel and my travel activities and/or excursions. I acknowledge that I was informed about my options but I declined the insurance, and I hereby release Main Street Travel, LLC and its independent contractors, owners, management and employees from any and all liability related to the trip described above. I have read this clause; I agree that my travel planner offered me the option to purchase travel insurance. I understand this clause and all consequences resulting from my decision to DECLINE to purchase trip protection and trip insurance. If you wish to learn more about travel insurance, speak with your travel planner before submitting this form. By checking the box below and adding your signature, you indicate & acknowledge that the information above is correct, the above amount is correct, you authorize the travel agency to charge your credit card for the specified amount, and you agree to the terms and conditions.

I Agree

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