Grand Cayman Form

Grand Cayman Travel Form


    *** As it Appears on your Passport*** (Passport number not needed)

    *** As it Appears on your Passport*** (Passport number not needed)
  • If you plan to fly from a REGIONAL AIRPORT. Please be advised of the risk of flight changes, cancellation, and multiple connection. You will be charged points based on the actual additional costs incurred from using a similar airport.

  • Is there a special event you will be celebrating during this trip (birthday, anniversary, etc.)?
    If so, on what date?
  • In consideration of our participation in the above-described trip, we do hereby release and forever discharge Preferred Pump & Equipment, its agents and employees from any and all claims, demands and causes of action which the undersigned now has or which the undersigned’s heirs executors, administrators, assigns or successors may have arising out of any activity in connection with the customer trip, commencing and ending on or about the dates shown above. We agree to hold harmless Preferred Pump, its directors, officers, members, agents and their heirs, executors, administrators and assigns, of and from all of the liabilities described above, arising out of or connected with our participation in said trip.