© 2009 -2011 California Gospel Ministries - All Rights Reserved
"Praise him, ye heavens of heavens, and ye waters that be above the
heavens"       Psalm 148:4
Pastorals’ Wives
Celebrating Your Uniqueness in Christ Cruise

Monday, September 17 — 21, 2012

CALIFORNIA GOSPEL MINISTRIES
7485 Rush River Drive
Suite 710-336
Sacramento, CA 94831


Please Read Carefully:

Your upcoming trip is a significant investment which may be covered for your protection.
You have the option of insuring your trip for a variety of circumstances. As part of our
service in fulfilling your travel needs, we require your acknowledgement that Travel
Insurance was offered for your protection. If you choose to decline, you are assuming any
financial loss associated with your travel arrangements.


[____] YES, I choose to purchase Travel Insurance

[____] NO, I choose to decline Travel Insurance


PTN BOOKING #:______________________ SUPPLIER CONFIRMATION #:_________________


CLIENT SIGNATURE X: _____________________________________ DATE: _________________


CLIENT’S PRINTED NAME:________________________________________


PTN AGENT NAME:________________________________________ PTN NUMBER:__________________



                                  COPY AND EMAIL THIS FORM TO LIZ.WILLIAMS@CALIFORNIA-GOSPEL.COM
TRAVEL INSURANCE
ACCEPTANCE/WAIVER
Insurance Waiver Form