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

side 1.800.620.4991 or, if from overseas, by calling collect 1-303-273-6498. You may also write to us at Event Ticket Protection Plan, P.O. Box 402, Golden CO 80402. Failure to provide notice of claim within 30 days will not invalidate a claim or reduce any benefit payment that may be found to be eligible,

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

teside 1.800.620.4991 or, if from overseas, by calling collect 1.303-273-6498. You may also write to us at Event Ticket Protection Plan, PO Box 402, Golden CO 80402. Failure to provide notice of claim within 30 days wil not invalidate a claim or reduce any benefit payment that may be found to be eligible, i

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

teside 1.800.620.4991 or, If from overseas, by calling collect 1-303.273-6498. You may also write to us at Event Ticket Protection Plan, PO Box 402, Golden CO 80402. Failure to provide notice of claim within 30 days will not invalidate a claim or reduce any benefit payment that may be found to be eligible,

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

teside 1.800.620.4991 or, it from overseas, by calling collect 1-303-273-6498. You may also write to us at Event Ticket Protection Plan, PO Box 402, Golden CO 80402. Failure to provide notice of claim within 30 days wit not invalidate a claim or reduce any benefit payment that may be found to be eligible, i