Your Cruise and Travel Headquarters


Cruise Registration Request
and Payment Form

Main Passenger or Responsible Party Information
Please note that passenger names and information must match legal names as they appear on
birth certificates, passports, and other legal documents. The cruise line will charge a fee for name changes.
Group Name (if applicable): Name of Responsible Party:
Address 1: Address 2:
City: State/Province:
Zip Code: Home Phone:
Day Phone: Cell Phone:
Anniversary Date: Date of Birth:
Country of Birth: Email Address:
Sailing Not Sailing
Additional Passenger Information
Please note that passenger names and information must match legal names as they appear on
birth certificates, passports, and other legal documents. The cruise line will charge a fee for name changes.
Additional Passenger Name: Date of Birth:
Additional Passenger Name: Date of Birth:
Additional Passenger Name: Date of Birth:
Additional Passenger Name: Date of Birth:
Cruise Information
Cruise Line Requested: Departure Date:
Ship Name: Stateroom Type:
Please note that staterooms and types are based on availability at the time of booking. Stateroom types include Inside Cabins, Ocean View Cabins, Balcony Cabins, and Suites. For detailed information about staterooms, please review the cruise line's brochure or contact your GlobeTrek Travel Group Agent for assistance.
Category Requested: Deck Requested:
Dining Preference: Past Guest Number:
Early Dining is at approximately 6:00PM. Late Dining is at approximately 08:00PM. If you are with a group, please consult your group leader. If you have cruised before with this cruise line, you were given a guest number. Please include that number in the field above.
Bedding Preference Queen/King: Bedding Preference Twins:Family Configuration
Family Configuration = 1 Queen + 2 Twin Bunk Beds
Include Air from: Include Transfers:
Include a Pre-Cruise Pkg. Include a Post-Cruise Pkg.Include both Pre & Post Cruise Pkgs.
Insurance
Insurance cost ranges from $59 to $79 for 5 day cruises and between $99 and $129.00 for 7 day cruises. The insurance will cover you for medical reasons, death in the immediate family, limited instances of trip cancellation and trip interruption. Each insurance plan is different and you are advised to read the coverage carefully for specific details.
Accept Decline
Gratuities/Tips
Gratuities are approximately $11.50 per person, per day. For example, on a seven day cruise the gratuities would be approximately $80.50 per person. The gratuities are for the stewards that clean your cabin twice a day and also for the waiters that wait on you each day. These gratuities do not include the tips charged on bar drinks. You can pre-pay your gratuities or you can pay them on the ship.
Accept (Pre-Pay) Decline (Pay on the ship)
Special Requirements or Needs
Billing Information
Method of Payment -
Cash Money Order Check Credit Card
If paying by Cash, Check, or Money Order, your payment must be received in our office before your cabin can be confirmed.
Unless otherwise noted, 5 day cruises require a $200 deposit per person and 7 day cruises require a $250 deposit per person.
If purchasing insurance, the insurance amount is also due along with the deposit.
Credit Card Number: Expiration Date:
Amount Authorized: By typing my name in the box below, I authorize GlobeTrek Travel, Inc. to process my payment for the amount indicated (Required for Processing your payment).
Name: Today's Date:
Your Travel Agent's Name (if applicable):
Thank you for choosing GlobeTrek Travel, Inc. to handle your cruise vacation needs. We appreciate your business. In some instances, clients may be required to email or fax a copy of their credit card and driver's license to our office. We hope you understand that this is for your protection.

Use of this form does not guarantee your cruise reservation request. Cabins are based on availability at the time of booking. You will receive an email confirmation or phone confirmation once your registration has been processed and confirmed. If your requested stateroom type is not available, we will call or email you with your options.