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(Submit a new form for each passenger paying separately. Please indicate "ROOMMATE" next to passengers submitting own form). |
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PASSENGER INFORMATION |
Passenger
1. First Name:
Last Name:
DOB:
Citizenship:
Gender:
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Passenger 2. First Name:
Last Name:
DOB:
Citizenship:
Gender:
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Passenger 3. First Name:
Last Name:
DOB:
Citizenship:
Gender:
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Passenger 4.
First Name:
Last Name:
DOB:
Citizenship:
Gender:
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PREFERENCES |
Cabin Category: Inside or Oceanview
Number of Passengers in Cabin:
Cruise Line Airfare (includes roundtrip transfers):
If yes, Air Departure City:
Cruise Only Transfers: $
If yes, please provide air schedule to GTI
Special Needs:
Special Occasion:
Dining Preference:
Past Passenger Number:
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TRAVEL PROTECTION INSURANCE - Download Travel Guard Protection Information |
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INSURANCE DISCLOSURE: Travel Protection Insurance protects your valuable vacation
investment in the event of sudden illness or death affecting you, your travel companions
and/or immediate family members. You hereby acknowledge that you have been offered
the Travel Protection Insurance and that if electing not to purchase the insurance
that your vacation may be nonrefundable, in full or part, if you decide to cancel.
Cost of insurance is NONREFUNDABLE once purchased. NOTE FOR PRE-EXISTING CONDITION(S):
This clause is applicable to Trip Cancellations, Interruption, Emergency Medical
& Dental and Emergency Medical Transportation. Policy may exclude coverage for
those conditions that manifested themselves, became acute, or for which you are
being treated or for which you received medical advice or treatment in the 180 days
before the purchase of benefit. |
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I do NOT want to purchase insurance |
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I DO want to purchase Global Travel's insurance with my FIRST
DEPOSIT. It WILL include pre-existing and bankruptcy
coverage's when purchased within 14 days of the first deposit. |
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I DO want to purchase Global Travel's insurance at final payment.
I understand that any pre-existing conditions WILL NOT be covered. |
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Reservation forms received without being marked "Yes" or "No" will automatically
default to "No" as the answer. |
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BILLING INFORMATION |
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Name: |
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Address: |
City:
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Zip:
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Phone: |
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Email: |
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CRUISE LINE CANCELLATION PENALTIES
$50.00 deposit is non-refundable. Cancellation fees will be charged by the cruise line for either partial or full stateroom cancellations. Each passenger will be responsible to pay charges if cancellation occurs during the below time frame. The following penalty dates apply to our group:
Penalty Date: December 31, 2009 Penalty Amount: $200 per person
Penalty Date: February 1, 2010 Penalty Amount: 50% per person
Penalty Date: February 22, 2010 Penalty Amount: Full penalty |
When you click Submit you will be transferred to PayPal.com to make your payment.