Cruise Registration & Payment Form
We Do Not Share This Information With Anyone.
Fields marked *are required.  Please fill as much of the questionnaire as possible.  08/28/2008

Group or Ship Name

*Last   Name

*Sailing Date: Reservation #

*First Name      *Title

*Birthdate mm/dd/yy       *Citizenship

*Address

*City

*State

*Zip

*Country

*E-mail


Important! Please double check.

Have you            cruised before?

*Day   Phone

*Best Time to Call


*Night
Phone

  FAX




 
  Type of cabin?  Cabin Category   # of cabins: 

Passenger # 2
*Legal Last Name *First Name      *Title

*Birth date: * Citizenship:

Passenger # 3
*Legal Last Name: *First Name      *Title 

*Birth date:  Citizenship:

Passenger # 4
*Legal Last Name: *First Name      *Title 

*Birth date:  Citizenship:

Do you need airfare?     If yes, closest major airport ?  
  
Do You Need Bus Transfers?     Do you want insurance?   

Do You Want Pre-Paid Tips
Please indicate if special occasion you are celebrating near cruise date

If So, Anniversary or Birth Date: mm/dd/yy        Name:

Other Requests or Comments. Also, Please List Any Special Medical Conditions ( Get Form )
or Special Diets Required. If you are pregnant, how many months will it be at the time of the cruise.  If you will be in your 6th month or are at high risk, you will be denied boarding.
Do you need a handicapped room, portable crib, high chair etc?

   
Important Note for All Carnival Passengers:  If someone else is paying for for your cruise and is not traveling, they must fill out a special form.   
Click Here For CARNIVAL FORM

Payment Information
The next step is to provide us with your credit card information. Credit card information can also be provided by phone (800)354-7673 or fax to us at (847)885-4775
Credit Card:        
Card Number:
Card Expires:
Name on Card:
Address:
Address:
City/St/Zip:     
Country:
Amount:   US DOLLARS

Please click the 'Submit' button only once, and wait for the confirmation page to appear This can take a while at busy times, please be patient.
   

       

      

A 7-day cruise deposit is $250.00 per person. The cruise lines take Visa, Master Charge, and Amex and  Discover. Final payment is due usually 70 days prior to departure. If you are asking about a sailing date within 
60 days, final payment is due immediately. Booking 6 months or more in advance usually qualifies you for an 
early booking discount and priority cabin selection.