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