Cancellation Form

Please complete the following form if you wish to cancel from your ACIS/Encore tour. Refunds depend on the protection plan you have selected and how close you are to departure.

You can review our refund policies here.

Fields marked with an * are required

Passenger First Name *

Passenger Last Name *

Account ID

Group Leader's Name *

Email Address (associated with the account) *

Group Departure Date *

Trip Name

Protection Plan Level

Basic
Ultimate
Ultimate-Plus

Reason for Cancellation *

Personal
Medical
Other

By checking this box, I agree that I will receive my reimbursement due as one payment from ACIS. Payment of any CFAR(Cancel for Any Reason) benefit from Zurich American Insurance Company will be assigned to ACIS on my behalf. *

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