91.3 WCSG Winter Blues Cruise Registration

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Registration form available for download here.



91.3 WCSG Winter Blues Cruise Registration


Your Information

Legal Names (as listed on Passport):

IMPORTANT: You must use LEGAL NAMES since proof of citizenship is always checked at the time of boarding.

Legal Names:


Date of Birth:



Valid Passports are required to board the ship. (Your passport must be valid for at least 6 months after your return date.) It's the responsibility of every passenger to present a valid passport at embarkation. Those without valid Passports will be denied boarding!

Home Phone:
Cell Phone:
Address Line 1
Address Line 2
City

State Zip Code
Email Address:
Trip Preferences
Cabin Category Desired:
JJ       I       F       FF       EE       D       BD       BC       BB
Airfare From:

Pre or Post Hotel:

Yes, Pre Hotel       Yes, Post Hotel

Dining Preference:

Early       Late       Personal Choice
Traveling With:
Special Occasions/Birthdays/Anniversaries:
Financial Information

Deposit due per person $350.00. Make checks payable to DOLPHIN VACATIONS

Credit/Debit Card Type:
 Name as written on card:
Credit/Debit Card Number:
 Expiration:

Trip Cancellation Insurance:

Yes       No      

Final Payment is due in our office by November 7, 2008 Payment plans are available.