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Cruise Booking Form
Group Cruise Or Your name if not a Group
*
Sailing Date
*
+
Ship Name
*
1st & 2nd Passenger Information
Full Name of Passenger #1
as on birth certificate or passport
*
Birth date - Passenger #1
*
+
Gender
*
Male
Female
US Citizen
*
Yes
No
E-mail Address:
*
Phone Number
*
Past Passenger #
Full Name of Passenger #2
as on birth certificate or passport
Birth date - Passenger #2
+
Gender
Male
Female
US Citizen
Yes
No
E-mail Address:
Phone Number
Past Passenger #
If more than 2 in a cabin
Full Name of Passenger #3
as on birth certificate or passport
Birth date - Passenger #3
+
Gender
Male
Female
US Citizen
Yes
No
E-mail Address:
Phone Number
Past Passenger #
Full Name of Passenger #4
as on birth certificate or passport
Birth date - Passenger #4
+
Gender
Male
Female
US Citizen
Yes
No
E-mail Address:
Phone Number
Past Passenger #
Cabin Preference
Cabin Type
*
Inside
Oceanview
Balcony
Suite
I don't know
People in Cabin
*
Single
Double
Triple
Quad
Location Preference
*
Forward
Midship
Aft
I don't care
Bed Configuration
*
Beds Together
Beds Apart
Dining
*
Early
Late
Anytime
Cruise Payment Information
Required Deposit Amount to berth your cabin
per person
(See your group cruise web page for cabin prices and required deposits)
*
$100
$125
$150
$200
$250
$350
$400
$500
Other (in comments)
*
Only paying the deposit for myself (*my room mate/s are paying theirs)
Paying the required deposit for all passengers
Paying the cruise in Full for all passengers
Paying the cruise in Full for myself only
Travel Insurance
Would you like to add travel insurance for less than 10% of the total cost of your trip? 85% of our clients do.This gives you peace of mind in case of illness of yourself or your family that would cause you to cancel your trip.
*
Yes
No
I need more information
About Travel Insurance
Final Payment Instructions
I give permission to Automatically charge my same credit card when the final payment is due.
Credit Card Type
*
Visa
MasterCard
American Express
Discover
Credit Card Number
*
Expiration Date (mm/yy)
*
CID
*
Name on Card
*
Address
*
City
*
State
*
Postal Code
*
Comments: (*If your room mate will be filling out their own form, please let us know their name here or list your room mate as TBA if you don't know who it will be yet.)
Please let us know if any passengers are: Senior Citizens or Active or Retired Military.
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Call CruiseOne at
800-874-0405
or e-mail
kgreen@cruiseone.com
if you have any questions.