Booking Form (for travel or cruise agents only)
Agency Phone #*
IATA/CLIA/TIDS #*
Agency Fax #*
Agency Name*
Agent Name*
Agent E-mail*
Booking Information:
Cruise N Stay Package
Ship
Departure Date
Departure City
If other, please specify
Deviations (if any)
Cabin Category
Price requested (before tax)
Cabin request
Cabin assignment requests
Cabin upgrades accepted?
Dining requests
Table size
Bedding requests
Cross reference (ie: SMITH)
Special occasions (if any)
Dietary requests (if applicable)
Any other booking requests
Vacation Protection Plan ($50pp additional)
Passenger Information:
Passenger #1 (full legal name as it appears on VALID passport):
First Name*
Last Name*
Age or Birthdate
Past passenger #
Passenger #2 (full legal name as it appears on VALID passport):
First Name #2
Last Name #2
Age or Birthdate #2
Past passenger #2
Passenger #3 (full legal name as it appears on VALID passport):
First Name #3
Last Name #3
Age or Birthdate #3
Past passenger #3
Passenger #4 (full legal name as it appears on VALID passport):
First Name #4
Last Name #4
Age or Birthdate #4
Past passenger #4
Payment Information: (If outside 90 days of departure, leave blank for 2 day option)
Amount $
Type of payment
Cheque/WRA #
Credit Card #
Expiry date (ie: MM/YY)
Name (as it appears) on card
If you using 2 payments fill here:
Amount $ #2
Type of payment #2
Cheque/WRA #2
Credit Card #2
Expiry date (ie: MM/YY) #2
Name (as it appears) on card #2

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