DISNEY VACATION CLUB MEMBERS

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Agent Information
Location Number (if applicable)
This number can be found on the back
of your brochure (e.g.: 33-7777)
Agent Code
Booking Information
Contract Number*
Trip Information
 
Disney Vacation Club
Underwritten by Zurich

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Start Date *
 /  / 
(mm/dd/yyyy)
Primary Traveler Information
 
First Name*
Last Name*
Address*
 
City*
State*
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Zip*
 
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Phone*
    
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Beneficiary
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Policy Document Delivery Options
 
Delivery Method
 


Primary Traveler*
(Optional) Recipient #2
 
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Plan Details
Disney Vacation Club
Benefits
Coverage Per Trip
Trip Cancellation
Trip Cost Up to $10,000 per Coverage Term
Trip Interruption
Trip Cost Up to $10,000 per Coverage Term
Transportation of Covered Vehicle Home
$750
Travel Delay
$1,000
Kennel Expense
$50/day for up to 10 days
Missed Connection - Cruise Only
$1,000
Trip Inconvenience
$300
Baggage & Personal Effects
$2,000
Baggage Delay
$1,000
Sporting Equipment Delay
$2,000
Property Damage and Security Deposit Protection
$2,000
Emergency Medical & Dental Expense
$25,000
Emergency Medical Evacuation & Repatriation
$250,000
Accidental Death & Dismemberment
$25,000
Exposure & Disappearance
$25,000
Rental Car Damage
$35,000
Travel Assistance Services
Included
 
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The product descriptions provided here are only brief summaries and may be changed without notice. The full coverage terms and details, including limitations and exclusions, are contained in the insurance policy or Description of Coverage. Coverage and rates varies by state. For plan and coverage questions please contact Travelex at 1-800-228-9792 or email at [email protected]. If there is any conflict between the contents of this website and the Policy, the Policy will govern in all cases. Travel Assistance Services are provided by the designated provider listed in the policy or on your Confirmation of Coverage.

Travelex Insurance Services, Inc. 810 North 96th Street, Suite 300, Omaha, NE, 68114. CA Agency License #0D10209.