Personalized Greyhounds Fundraising Cruise – Registration Form

February 27 – March 4, 2010

 

INTERIOR STATEROOM                       OCEAN VIEW STATEROOM                 BALCONY STATEROOM

􀂅 Cat. 4B - Riviera Deck   $471.10 p/p                    􀂅 Cat. 6B - Main Deck   $541.10 p/p                    􀂅 Cat. 8B – Upper Deck   $641.10 p/p

 

SUITE                                                  PENTHOUSE SUITE

􀂅 Cat. 11 - Empress Deck   $1,061.10 p/p              􀂅 Cat. 12 - Empress Deck – Limited availability – Rates on request

(All Suite and Penthouse Suites require the full deposit of $200 per person at time of reservation)

           

SELECT ONE:

􀂅 DOUBLE OCCUPANCY                     􀂅 SINGLE OCCUPANCY                       􀂅 TRIPLE/QUAD/QUINT

                                                                           Cat. 1A  -  Riviera Deck                                         (Limited availability – use two forms)

                                                                           Bunk bed Interior Stateroom                                   (Rates on request) (Full deposit due

                                                                           (limited availability – Rates on request)                   of $200 per person)

 

PAYMENT SCHEDULE: (It is very important that payments are received by their due dates)

Deposit of $50.00 per person                                  2nd Deposit of $150.00 per person                           Final Payment

Due with reservation                               Due on or before October 16, 2009                         Due on or before December 15, 2009

 

PASSENGER INFORMATION (Please Print)

Passenger One

Passenger Two

Legal Name:

Legal Name:

Nickname:

Nickname:

Address:

Address:

City/State/Zip

City/State/Zip

Evening Phone                               

Day Phone

Evening Phone                               

Day Phone

Cell Phone

Cell Phone

Email Address

Email Address

Country of Citizenship                   

Date of Birth

Country of Citizenship                   

Date of Birth

Carnival Past Guest Number

Carnival Past Guest Number

My Adoption Group Is:

My Adoption Group Is:

Method of Payment:    􀂅 Check (Payable to Travel Beyond)

􀂅 Visa   􀂅 Master Card   􀂅 Discover    􀂅 American Express

Method of Payment:    􀂅 Check (Payable to Travel Beyond)

􀂅 Visa   􀂅 Master Card   􀂅 Discover    􀂅 American Express

Name as it Appears On Your Credit Card

Name as it Appears On Your Credit Card

Credit Card Number

Expiration Date

Credit Card Number

Expiration Date

Credit Card Verification Number on Back of Card

Credit Card Verification Number on Back of Card

I authorize Travel Beyond, Inc. to charge deposits and payments to my credit card listed above in accordance with the above payment schedule.  I will notify Travel Beyond, Inc. if I choose to use a different credit card prior to the due date/s

I authorize Travel Beyond, Inc. to charge deposits and payments to my credit card listed above in accordance with the above payment schedule.  I will notify Travel Beyond, Inc. if I choose to use a different credit card prior to the due date/s

Cardholder’s Signature

Date

Cardholder’s Signature

Date

Do you need roundtrip Carnival transfers?

􀂅 Miami

􀂅 Ft Lauderdale

Do you need roundtrip Carnival transfers?

􀂅 Miami

􀂅 Ft Lauderdale

Do you need a hotel the night before sailing?

􀂅 Yes

􀂅 No

Do you need a hotel the night before sailing?

􀂅 Yes

􀂅 No

Cancellation Insurance:

  􀂅 Yes  􀂅 No                 

Signature

Cancellation Insurance:

  􀂅 Yes  􀂅 No                 

Signature

Medical or Dietary Needs:

 

Medical or Dietary Needs:

 

 

 

 
               

 

Mail Completed Form To:  Travel Beyond, Attn:  Jeffrey Almoney, 12426 Alstroemeria, San Antonio, Texas  78253

Or Fax to:  (210) 688-9397  --  Questions??  Please Call Jeffrey at (717) 309-7383 or (210) 688-9397

Email:  jalmoney@att.net