"Praise him, ye heavens of heavens, and ye waters that be above the heavens"       Psalm 148:4


CALIFORNIA GOSPEL MINISTRIES
California Gospel Ministries
7485 Rush River Drive, Ste. 710-336
Sacramento, CA 95831
Phone: (916) 304-2246


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:__________________



                                                           SCAN AND EMAIL TO LIZ.WILLIAMS.CALIFORNIAGOSPEL@GMAIL.COM
TRAVEL INSURANCE
ACCEPTANCE/WAIVER
Insurance Waiver Form
© 2006 -2012 California Gospel Ministries - All Rights Reserved



CALIFORNIA GOSPEL MINISTRIES