Please download and return this form to Gibbs Miller at
I understand that Gay Gillen Travel is not the source or supplier of the travel services I have requested, and acts solely as an agent for the actual suppliers of such services as described in Gay Gillen Travel’s Responsibility and Disclosure form, which I confirm I have received and accept. I have been advised that the suppliers whose names appear in the information supplied to me are those who are actually responsible for providing the travel services I have purchased. I consent to and request the use of those suppliers and agree not to hold Gay Gillen Travel responsible should any of these suppliers: 1) fail to provide the travel services I have purchased; 2) fail to comply with any applicable law; or 3) engage in any negligent act or omission that causes me any sort of injury, damage, delay, cancellation, change in itinerary or inconvenience.
I accept that Gay Gillen Travel is not responsible for, nor will I attempt to hold it liable for, any injury, damage or loss I may suffer on account of any conditions, actions or omissions that are beyond its reasonable control.
I will review my travel documents for accuracy upon receipt and understand that I may contact Gay Gillen Travel if I have any questions. I understand that travel discounts typically involve restrictions and that changing any aspect of my travel arrangements may result in the payment of additional money.
I have been advised to use a credit card as this may offer me the opportunity to dispute the charge should a vendor cease operating.
I understand that if traveling internationally, I must have a valid passport and depending upon my destination and nationality, I may need to obtain one or more visas or tourist cards. Further, some countries require that parents sign a parental consent form when traveling with minor children.
Note to Client: Passport and visa information may be obtained by contacting the Travel Advisory Section of the U.S. State Department at 202.647.5225 or by visiting the State Department's Web site at . Non-U.S. passport holders should be sure to contact the embassies of their destination and transit countries to obtain entrance requirements. To obtain medical information, you may contact the Centers for Disease Control at 404.332.4559 or visit the CDC's Web site at .
I understand that Gay Gillen Travel strongly recommends I purchase travel insurance to cover certain risks inherent in travel such as supplier bankruptcy and the inability to travel due to a medical or personal emergency. Please check and initial your acceptance or refusal of travel insurance below.