| Medical and Travel Insurance
Journey to the Homeland Tours
Germans from Russia Heritage Collection
North Dakota State University Libraries, Fargo
To: Tour Group Members
From: Michael M. Miller, Tour Director, Journey to the Homeland
tours
Subject: Health Insurance for 15 May - 25 May 2014 tour
All tour group participants are required to have a comprehensive
travel accident and medical insurance policy.
For Travel Insurance, Contact Sheila Anderson,
Travel Consultant, Kvamme Travel,
218-236-960601
800-999-1586
sheila@kvammetravel.com
A photocopy of your travel health insurance policy needs to be
sent to me as soon as you have completed your travel Insurance policy
form.
Be sure to check if your personal health insurance policy covers
travel overseas including the countries of Moldova, and/or Ukraine.
Also, by signing below, you are consenting to receiving emergency
medical treatment which may be deemed advisable by tour officials
in the event of injury, accident, or illness and for which you may
be unable to give your consent to the time, due to incapacity as
a result of the injury, accident, or illness.
__________________________________
Tour group member signature and date
__________________________________
Tour group member signature and date
Please return this form by 1 March 2014 to:
Journey to the Homeland Tour
Germans from Russia Heritage Collection
Libraries
NDSU Dept #2080
PO Box 6050
Fargo, ND 58108-6050 |