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Address Line 1
Address Line 2
District of Columbia
Name of Your Trip
Original Departure Date
Original Return Date
What Portion of Your Trip Are You Cancelling?
Reason for Cancellation
Cancellation Policy (If you have a roommate, your roommate(s) will be impacted by your cancellation. Your roommate(s) will have to pay additional funds to reflect the new occupancy).
I have informed my roommate of my decision to cancel.
I do not have a roommate/this does not apply.
Refund Acknowledgement, If Applicable (I understand that there may be a penalty from the Tour Operator / Travel Supplier(s) involved in this cancellation. I also, understand that any refund that I may be due could take up to six (6) weeks or more to post to my credit / debit card. Refunds will be contingent on terms of the specific trip booked).
Signature (By providing your name below and selecting the "Submit" button, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement. By selecting the "Submit" button you consent to be legally bound by this Agreement's terms and conditions).