Passenger Information Form (Cruise Passengers)


Please complete this form for each cabin you are booking. (You may also print this page, complete it and fax it to 909-798-5130.) Once received an agent will contact you via phone for deposits or payments. Your reservation is not confirmed until a deposit is received.

Names must appear exactly as they do on your official documents that you will present the cruiseline and/or airline as identification (no nicknames).

WE HIGHLY RECOMMEND TRAVEL PROTECTION – PLEASE CALL US FOR DETAILS ON INSURANCE BENEFITS AND PREMIUM!

General Information
Please choose one of the options below

	Option A I am signing up for all guests in this cabin at this time (Choose this option even if you will have a cabin all by yourself)
	Option B I am signing up for myself only at this time, but will have a roommate. My roommate(s) will be signing up separately. Their names are:
	Option C I am a single looking to share with another single to save money (Complete information regarding roommate preferences available).
	Option D Other

Booking Information

Group Name or Promo Code (If Applicable)
*Cabin Type:	(please choose one)InteriorObstructed View OceanviewOceanviewBalconyJunior SuiteSuite
How many passengers in this cabin?	(please choose one)1234
Dining Preference:	(please choose one - subject to availability)Early/Main DiningLate/Second DiningAlternative Dining
*Travel Insurance:	(please choose one)Inquire About or AcceptDeclined
Special Occasion:	(please choose one)BirthdayAnniversaryOther
Would you like to receive monthly emails about our specials?	(please choose one)YesNo
	If you decline Travel Insurance, you MUST check this box to confirm that you have declined it.
Referring Travel Agent Name:

Passenger #1

*Title:	(please choose one)Mr.Mrs.Ms.Dr.
*First Name:
*Last Name:
*Street Address:
*City, State, Zip Code:
*Email Address:
*Phone Number with Area Code:
*Date of Birth (exp. 01Jan1970):
Citizenship:
Emergency Contact:
Emergency Contact Phone:
Special Needs (diet or other):

Passenger #2

Title:	(please choose one)Mr.Mrs.Ms.Dr.
First Name:
Last Name:
Street Address:
City, State, Zip Code:
Email Address:
Phone Number with Area Code:
Date of Birth (exp. 01Jan1970):
Citizenship:
Emergency Contact:
Emergency Contact Phone:
Special Needs (diet or other):

Passenger #3

Title:	(please choose one)Mr.Mrs.Ms.Dr.
First Name:
Last Name:
Street Address:
City, State, Zip Code:
Email Address:
Phone Number with Area Code:
Date of Birth (exp. 01Jan1970):
Citizenship:
Emergency Contact:
Emergency Contact Phone:
Special Needs (diet or other):

Passenger #4

Title:	(please choose one)Mr.Mrs.Ms.Dr.
First Name:
Last Name:
Street Address:
City, State, Zip Code:
Email Address:
Phone Number with Area Code:
Date of Birth (exp. 01Jan1970):
Citizenship:
Emergency Contact:
Emergency Contact Phone:
Special Needs (diet or other):

Check this box indicating that you understand that your reservation is not confirmed until we have received your deposit. (An agent will contact you to make payment arrangement for your deposit.)