INDIVIDUAL CRUISE REGISTRATION FORM AGENCY : LINE : SHIP/NIGHTS : SAILING DATE :
Great Deaf Vacations Carnival Carnival Fantasy / 5 Nights October 30, 2010
******************************************************************************************************************************** Note:
ONE Registration Form Per Cabin
PASSENGERS MUST HAVE PROPER TRAVEL DOCUMENTS US CITIZENS MUST HAVE A VALID PASSPORT or BIRTH CERTIFICATE Non-US Citizens and Resident Aliens should contact their respective Embassies and US Immigration for applicable regulations. Cabin Category: Dining Request:
Inside____
Oceanview ____
Early Seating (6pm) ____
Late Seating (8pm) ____
PASSENGERS MUST USE THEIR LEGAL NAMES TO REGISTER (NO NICKNAMES): Passenger #1: ____________________ Date of Birth: __/__/__ Age: ___ Sex: M / F US Citizen: Yes / No Passenger #2: ____________________ Date of Birth: __/__/__ Age: ___ Sex: M / F US Citizen: Yes / No Passenger #3: ____________________ Date of Birth: __/__/__ Age: ___ Sex: M / F US Citizen: Yes / No Passenger #4: ____________________ Date of Birth: __/__/__ Age: ___ Sex: M / F US Citizen: Yes / No ******************************************************************************************************************************** TRAVEL CANCELLATION INSURANCE We strongly recommends purchasing travel insurance due to the cruise lines' very strict cancellation policies. Travel insurance must be purchased no later than the final payment date. This is to confirm that I am aware of the cancellation penalties as described below on this page and that travel insurance is available for purchase at Final Payment (but prior to penalty start date) to protect against cancellation penalties due to unforeseen MEDICAL reasons. Signature (Required) :__________________________ Date: ________________ Purchase Travel Cancellation Insurance? ACCEPT ____ DECLINE ____ **CANCELLATION PENALTIES** Days Prior To Sailing Departure Charge Per Guest Up to 61 days
None
60 to 46 days
Deposit
45 to 30 days
50% of Total Fare
29 to 15 days
75% of Total Fare
14 days or less
100% of Total Fare
Your purchase is subject to the terms and conditions indicated in the cruise line brochure and/or website and on the invoice that you will receive via email. We may charge a cancellation fee of $50.00 per person in addition to any penalties imposed by the cruise line. Page 1
BILLING & TICKETING PHYSICAL ADDRESS: (P.O. Boxes Not Accepted) ********************************************************************************************************************************
Name:
_______________________________
Address:
_______________________________ _______________________________
City/State:
_____________________ Zip: ______
Home Phone: ______________ Work Phone: ______________ Cell Phone: ______________ Email: ___________________________________ **************************************************************************************************************************
PAYMENT INFORMATION PLEASE CHARGE MY CREDIT CARD: $_______________ CARD NUMBER #: ________________________________ EXPIRATION DATE: ________________________ CARD HOLDER'S SIGNATURE: _______________________________________ CARD HOLDER'S NAME (PRINT) ______________________________________ **************************************************************************************************************************
MAIL TWO FORMS (Page 1 & 2) TO:
GREAT DEAF VACATIONS P.O. Box 1612 Clayton, NC 27528
We will contact you immediately once we receive your payment. Thank you for joining us on our First Annual Halloween Deaf Cruise!
Page 2