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

he Event Ticket Protection Plan provides insurance to a Cardmember when the expense of a Ticket has been charged to the Cardmember's Account and the Ticketholder cannot use the Ticket due to a Covered Incident for which benefits are payable under this Plan. We will reimburse You, up to a maximum coverage limi

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

with the following which is added and made part of the Description of Coverage: Right of Recovery: If We make any payments under this Plan and the Ticketholder has the right to recover damages from another, We shall be subrogated to that right. However, Our right to recover Is subordinate to the Ticketholde

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

to the Cardmember's Account If Ticket reimbursement, due to a Covered Incident for which benefits are provided (alder the Plan, is provided to the Ticketholder by a Producer, Venue, or other insurance, the coverage provided by the Event Ticket Protection Plan becomes secondary and will pay only that portion

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

he Event Ticket Protection Plan provides insurance to a Cardmember when the expense of a Ticket has been charged to the Cardmember's Account and the Ticketholder cannot use the Ticket due to a Covered Incident for which benefits are payable under this Plan. We will reimburse You, up to a maximurn coverage lim