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Tampa to Cozumel Cruise - Convenient Online Registration Form
Credit cards are the only payment method accepted for online purchase of this cruise. Please have your credit card information ready to complete this transaction.
Fields marked by an asterisk* are mandatory.
CONTACT INFORMATION
First Name:
Last Name:
*
*
Address:
*
City:
State:
*
*
Zip Code:
*
Phone:
Type of Phone:
- - *
*
Alternate Phone:
Type of Phone:
- -
Email Address:
*
PASSENGER INFORMATION
Passenger Legal Names:
Passenger Birthdates: 00/00/0000
1 *
1 / / *
2 *
1 / / *
Pricing and availability for 3rd, 4th, 5th passengers in same cabin is subject to change.
Please enter names and birthdates below and we will call you to confirm.
3
3 / /
4
4 / /
5
5 / /
CHOOSE CABIN TYPE *
4A Inside $499.00 cruise fare
+ 27.98 tax per person (based on double occupancy)
6A Ocean View $579.00 cruise fare
+ 27.98 tax per person (based on double occupancy)
CHOOSE OPTIONAL ITEMS
Yes No
Insurance – 4A Inside - $55.00 per person *
Yes No
Insurance – 6A Ocean View - $89.00 per person *
Yes No
Pre-Paid Gratuities 40.00 per person *
CREDIT CARD INFORMATION
Cardholder Name: (as it appears on your card)
*
Credit Card Number:
Expiration Date: 00/00
*
*
Payment Options: *
Deposit 200.00 per person now.
Final will be automatically charged on 1/1/08
Full payment now
Remarks: Use this space to communicate special needs or requests
Please click here to read the Terms & Conditions.
Please click here to download a copy of the Certificate of Insurance.
* By checking this box, I agree to the terms and conditions.

 
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