Complete the application and send to the Administrator along with the corresponding payment. The Administrator will process the application and send you an ID Card by mail. Coverage must be purchased prior to trip departure. Fees are subject to change without notice. Membership Fees are non-refundable after the effective date.
Membership is non-transferable.
I authorize to, or by Travel Assistance Internationl of any information necessary to process this application and any claims. A photocopy or fax of this authorization is acceptable as an original. Information contained on this application found later to be inaccurate shall void all coverage benefits. Please refer to the Description of Coverage for details of coverage, terms, conditions, limitations and exclusions. All services must be approved or arranged by Worldwide Assistance Services.