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tion Date Rental: MIAMI FL 06/10/06 Return: W. PALM BCH FL 08/1W06 Agreement Num Renter Name:

does not replace the Policy. This document replaces all existing prior Plan documents You may have received for the Event Ticket Protection Plan. This Description of Coverage is an important document. Please read it and keep it in a safe place. In Witness Whereof, We have caused this Description of Coverage to be signed b

ness lunches, pre-theater, or private events. 57 W. 48th St 212-262-6200. www.ajmaxwells.com. If the

does not replace the Policy. This document replaces all existing prior Plan documents You may have received for the Event Ticket Protection Plan. This Description of Coverage is an important document. Please read it and keep it In a safe place. In Witness Whereof, We have caused this Description of Coverage to be signed b

Customer Service. • Please print clearly In blue or black Ink only In the boxes provided. You mayvisit the American Express PdvacyStatement at VW/W. americanexpresszonSivacy for more details andtoset your email preferences. Large Print and Braille Statements 1-800-525-3355 Travel Emergency and

does not replace the Policy. This document replaces all existing prior Plan documents You may have received for the Event Ticket Protection Plan. This Description of Coverage is an important document. Please read it and keep it th a safe place. S8486 BP/MuET12P/0806 EFTA01704559 DUPLICATE COPY Fr Ptcount Nirrber Cb

ness lunches, pre-theater, or private events. 57 W. 48th St. 212-262-6200. www.ajmaxwells.com. If th

does not replace the Policy. This document replaces all existing prier Plan documents You may have received for the Event Ticket Protection Plan. This Description of Coverage is an important document. Please read it and keep it in a safe place. In Witness Whereof, We have caused this Description of Coverage to be signed b