Client Information Form

Complete this form for each person on your reservation. Please provide complete information as it appears on your passport. We will contact you shortly to process your payment information.

 


 

ALL fields are required unless otherwise noted.


Please list your full name as it appears on your passport. If you do not have a passport, please give your full LEGAL name as it appears on your drivers license and let us know you do not have a passport with a notation in the "Additional Info" section below. 

Last Name:

First Name:

Middle Name:

What name do you go by?(nickname, etc.)

Male

A passport is required for all U.S. citizens traveling outside the United States, including some cruise vacations.  If you do not have a passport, please give your full LEGAL name as it appears on your drivers license and let us know you do not have a passport in the "Additional Info" section below.  We advise all cruise passengers to apply for a passport as soon as possilbe to ensure its arrival in time for your trip.

Date of birth: (Ex. JAN-01-1901)
Passport Number: (optional)
Expiration Date: (Ex. JAN-01-1901)
Issuing Authority (ex: U.S. Dept. of State, etc.)
Are you a U.S. Citizen?

Address:

City  State ZIP


Phone (Ex. 555-555-5555)
This phone is my: Work

Email:


Please provide information about the trip you are booking today:


Who will be sharing your hotel room?
(Please list the names of anyone who will be sharing the same hotel room with you. PLEASE NOTE: Each person listed must also fill out a Passenger Information Form.

PAYMENT INFORMATION:
Who will be paying for this reservation?

Me (Please complete the Credit Card Authorization Form linked above.)

ADDITIONAL OPTIONS:

We highly recommend the purchase of travel insurance to protect your investment. A travel protection plan may reimburse you in cases of cancellation, medical emergency, emergency evacuation, or lost or stolen luggage. We can provide information about coverage if you are interested. There is no cost for this information and you are under no obligation to purchase a plan.




Additional Info:
(Please include information about any special needs, medical conditions that may require special equipment or accessibility such as wheelchairs, CPAP machines, sharps containgers, or refrigerators for insulin or other medications.

  • By registering for this trip, you agree to the terms and conditions set forth by the travel companies involved. Please see your booking information, Booking Disclaimer form, and/or trip quote for details.
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I understand that by registering for this trip, I agree to the terms and conditions listed herein.

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