Please provide the following information:

Please type "Reunion Cruise" in the following space
Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail
Date of Birth

Age
Sex	Male Female

Cabin Category Requested:

Inside Cabin

Oceanview Cabin

Balcony
Other

If you selected "Other" above, please specify your cabin preference

Cabin Occupancy:

Single occupancy cabin                               

I need a roommate and will submit a listing for the roommate board

I have a roommate                                   
Undecided at this time                                

If you selected "I have a roommate" above, please indicate who you will be sharing with:

Trip Cancellation Insurance:

I will purchase insurance on my own I am not interested in insurance Undecided

Airline Arrangements:

I will make my own airline arrangements    Please provide me with a quote      Undecided at this time                   

            If you have requested a airfare quote, what is your departure city?

            Flights required on what dates?

Airport Transfers:

Roundtrip airport transfers Arrival transfer Departure transfer I do not need transfers or are unsure at this time

Hotel Accommodations:

I am undecided at this time One day pre-cruise package Two day pre-cruise package One day post-cruise package Two day post-cruise package I will make my own arrangements

Binnacle Travel is arranging for group shore excursions while in each port.

What activities are you most interested in participating?

Guided Sightseeing Tours         Scuba Diving/Snorkeling          Beach Parties                 

Adventure (hiking, biking, etc)  Party Boats                          Other                            

            If you chose "Other" above, please let us know what you'd like to do:

What is your T-shirt size?

Women's Small Women's Medium Women's Large Women's Extra-Large Men's Small Men's Medium Men's Large Men's Extra Large Men's XXL

A $50% deposit is due at the time of your reservation

Please charge me the $250 deposit now Please charge me for the full payment due I will send a check within the next 5 business days

Please charge the following credit card:

(please note that no charges will be made until we have received your signed credit card authorization back from you.

The confirmation/authorization will be sent to you within 24-48 hours upon receipt of your reservation)

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Should you not wish to provide your credit card information online, you may contact our office to complete your reservation.

 

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