2018 Motown Valentine's Cruise Form
This Form is to be used by a maximum of two (2) guest only.  If you have more than two guest in your cabin, please fill out the additional guest on a separate Registration Forms.  If you prefer to have one of our representative to assist you with your Registration Form, contact Rose of Sharon Travel @ (302-735-1748)  "Our Primary Focus Is You!"
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Email *
Stateroom Selection based on double occupancy (except Single/Solo)
Clear selection
Guest-1 Information*
Guest - 1 Full Name As Listed On Your Passport *
Guest-1 Full Address *
Guest-1 Phone Number (Primary) *
Guest-1 Phone Number (Secondary)
T-Shirt Size
Date Of Birth *
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Passport #
Passport Expiration Date
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Please Note:
Passports must be valid for at least six (6) months following the return date of your cruise.  If you do not have a passport yet, apply as soon as possible. For full passport information, visit travel.state.gov
Emergency Contact: Name, relationship, phone number *
Guest 2 Information
Guest 2 Full Name As Listed On Your Passport *
Guest-2 Full Address- if different from above *
Guest-2 Phone Number (Primary) *
Guest-2 Phone Number (Secondary)
Guest-2 Email Address *
T-Shirt Size
Date Of Birth *
MM
/
DD
/
YYYY
Passport #
Passport Expiration Date
MM
/
DD
/
YYYY
Please Note:
Passports must be valid for at least six (6) months following your cruise return date.
Emergency Contact: Only if different from above *
Room Occupancy *
# of Beds *
Required
This Form is for up to two (2) guests per room -- single or double occupancy.  If you have more than two guests per room, please submit a separate form for the additional guests.
Dining Preference *
List any friends you wish to dine with
Check all that apply
Additional information you wish to provide, such as accessibility issues, food allergies such as shellfish, gluten, etc., special occasions, active/retired military, etc.
Date of Submission
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Time
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A copy of your responses will be emailed to the address you provided.
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