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Future Cruises!

2011 Summer Cruise: Mediterranean

Your Design Team:

Lorri Birmingham

Marilyn Vredevelt

Stoney Creek Collection

2010 Cruise Form: 7 Nights - Western Caribbean

Passenger Information:
Passenger #1 Please print name exactly as it appears on your passport. *=Required Fields.

Prefix

*First Name

Initial

*Last Name

*Date of Birth

*Address1:
Address2:
*City:	State: Zip:
e-mail:

Phone numbers where you can be reached (Format NNN-NNN-NNNN):

*Home: Work: Cell:

Passenger #2 (Each passenger must fill out a separate form. This is for room arrangements only.)

Prefix

First Name

Initial

Last Name

Cabin Accommodations/Dining Arrangements

Please Reserve the Following:

*Suite /Stateroom

*Dining Selection

*Please arrange my cabin accommodations in:

Twin Configuration

Queen Configuration

*Special Needs and Requests: To better serve you can you please provide any dietary restrictions, mobility access requirements or medical conditions. if none, please type "none".

If possible, I would like to be near:

If possible, I would like to dine with:

I am traveling alone and would like to room with another stitcher. Please contact me for pairing arrangements.

Air/Hotel Arrangements

	I am interested in purchasing the round trip airfare option available through the cruise line air department. Please contact me with pricing and further information.
	I am interested in purchasing hotel and/or ground transportation option available through the cruise line. Please contact me with pricing and further information.
	I will be making my own pre- and post-cruise travel arrangements.

Stitching Classes

I will be taking the stitching classes. Please bill me for the registration fee of $325 for the classes. I understand that this will be billed separately from the cruise, and that $200 is due upon registration, and $125 must be paid by September 1st.

Thank you, but I will NOT be taking the stitching classes.

Travel Insurance

For your protection and to ensure the full benefits of your trip planning, TravelSafe Vacation Insurance is available to you for Trip Cancellation, Trip Interruption, Trip Delay, Accident and Sickness, Medical Expenses, Emergency Medical Evacuation, Lost Baggage, Baggage Delay, and more. Please note that insurance is non-refundable.

	I would like a quote for TravelSafe vacation insurance.
	I am not interested in Travel Insurance and I acknowledge that I have been offered but choose to decline coverage.

Cruise History

Current Cruise	Past Cruises (Please enter other years you have cruised, separated by commas.)

Initials

By placing my initials in the box to the left, I agree that all information provided above is accurate to the best of my knowledge. Furthermore, my selection for travel insurance is my own choice, and should I elect not to purchase travel insurance, I understand that if I should need to cancel my reservation after the final payment date, I will not receive a refund, and I will hold Serenity NOW Cruise Planners harmless.

Payment Information:

JS (Junior suite) $500 deposit is due by March 19th.
All other suites and cabins, $500 deposit is due by June 21st.
Final payment due 8/10/2008 for all cabins.
Deposits are fully refundable prior to the final payment date.
After form submission, we will contact you by phone for payment info.
For Cruise payment we accept MC/VISA/AMEX/Discover.
For Class payment we accept checks or all credit cards above.

Please scroll up and verify all information for accuracy, then press the "Submit" Button.

Forms:

Future Cruises!

2010 Cruise Form: 7 Nights - Western Caribbean