| Main Passenger or Responsible Party Information
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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.
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Group Name (if applicable): |
Name of Responsible Party: |
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Address 1: |
Address 2: |
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City: |
State/Province: |
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Zip Code: |
Home Phone: |
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Day Phone: |
Cell Phone: |
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Anniversary Date: |
Date of Birth: |
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Country of Birth: |
Email Address: |
| Sailing |
Not Sailing |
| Additional Passenger Information
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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.
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Additional Passenger Name: |
Date of Birth: |
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Additional Passenger Name: |
Date of Birth: |
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Additional Passenger Name: |
Date of Birth: |
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Additional Passenger Name: |
Date of Birth: |
| Cruise Information
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Cruise Line Requested: |
Departure Date: |
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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.
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Category Requested: |
Deck Requested: |
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Dining Preference: |
Past Guest Number: |
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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. |
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Bedding Preference Queen/King:
Bedding Preference Twins:Family Configuration |
| Family Configuration = 1 Queen + 2 Twin Bunk Beds
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Include Air from: |
Include Transfers: |
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Include a Pre-Cruise Pkg.
Include a Post-Cruise Pkg.Include both Pre & Post Cruise Pkgs. |
| Insurance
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| Insurance cost ranges from $59 to $99 for 5 day cruises and between $99 and $159.00 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.
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| Accept |
Decline |
| Gratuities/Tips
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| Gratuities are approximately $15.00 - $20.00 per person, per day. For example, on a seven day cruise the gratuities would be approximately $97.93 per person. The gratuities are for the stewards that clean your cabin each 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.
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| Accept (Pre-Pay) |
Decline (Pay on the ship) |
| Special Requirements or Needs - T Shirt Sizes if included in the group promotion.
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| Billing Information
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| Method of Payment -
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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.
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Credit Card Number: |
Expiration Date: |
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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). |
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Name: |
Today's Date: |
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Your Travel Agent's Name (if applicable): |
