Senior Bachelor Cruise Booking Form

Senior Bachelor Cruise Booking Form

Return to the Senior Bachelor Cruise Page

To assist with your Senior Bachelor Group Cruise booking, please fill out the following form and press the "Submit" button at the bottom of the form.

The information you provide will be sent directly to the Senior Bachelor Group Personal Cruise Consultant, Shawn Calvo, who will promptly call you back. Shawn can be reached at 1-800-355-3017 Ext. 4294 Mon- Fri, 9:00AM to 6:00PM, PST if you have any immediate questions.

Nothing will be charged to your charge card at this time and you can use this form to provide information to Shawn or to ask her a question (use the comments area below.)

Thank you so much and I look forward to seeing you on board!!

Warmest Regards,

Richard Roe

Senior Bachelor Group Leader

Please enter the names of the Guests (up to four) that will be in your party. It is very important that you enter the names EXACTLY as they appear in your Passports so your documents and your identification will match.

Guest #1 Complete Name:
Guest #2 Complete Name:
Guest #3 Complete Name:
Guest #4 Complete Name:
Physical Street Address:
City:
State/Province:
Zip / Postal Code:
Telephone Number:
Fax Number (Optional):
E-Mail Address:
Credit Card Type:
Credit Card Number:
Credit Card Expiration- Month:
Credit Card Expiration- Year:
Name on Credit Card:
Credit Card Billing Address (if different than above):
Credit Card Billing City:
Credit Card Billing State/Province:
Credit Card Billing Zip/Postal Code:
Alternate Telephone Number:
Alternate Telephone Number:
Which Cruise are you interested in?	Zaandam- August 11-18, 2006
	Westerdam- August 20-27, 2006
	Both Cruises!
Cabin Type (enter name of cabin type):
Do you want to purchase Cancellation Insurance:	Yes
Do you want to purchase Cancellation Insurance:	No
Preferred Dining Time:	6:15 PM
Preferred Dining Time:	7:45 PM
Special Needs:
Mariner Number:
Your Comments/Questions: