Daryl MacLean's Beach Party Cruise 2018
Vacation Registration Form
How did you hear about the trip?
Room Category Requested
Promo Code (optional)
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Number of Guests In Your Cabin (MAX 4)
Travel providers require that we collect each passenger's date of birth and gender. Name must appear exactly as it is on traveler's passport or government approved travel document, or boarding may be denied.
First Guest Name - (Must be EXACTLY as it appears in your Passport) - please use FIRST MIDDLE LAST
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Guest 1 Birthdate
MM
/
DD
/
YYYY
Guest 1 Gender
Second Guest Name - (Must be EXACTLY as it appears in your Passport) - please use FIRST MIDDLE LAST
Your answer
Guest 2 Birthdate
MM
/
DD
/
YYYY
Guest 2 Gender
Special requests, food allergies, etc
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Billing Address
Please include Postal or Zip Code
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Home Phone
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Cell or Alternate Phone
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Email
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Alternate Email
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Travelling with another couple? If yes, indicate their name.. We will attempt to book you near each other, but this cannot be guaranteed.
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Payment Details
Initial deposit $100.00 CAD per person due at time of booking and is NON-REFUNDABLE, Second deposit of $250.00 CAD per person due on August 15 2017 for Interior Cabins, also due at time of booking for ALL other cabin types, including Balcony, Oceanview and Suites. Remaining balance due November 1st 2017 and will be automatically billed to the card(s) provided, unless you contact our office prior to 5pm (Eastern) October 25 2017. If you would like to make partial payments in ANY amount prior to November 1st, please contact Marc and we will make arrangements.
Split Payments Evenly Between Two Cards?
Name On Card
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Card Number
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Expiry Date (MM/YY)
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CVV (3 digits on back of most cards, 4 on front of AMEX)
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Name On Card #2
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Card #2 Number
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Card #2 Expiry Date (MM/YY)
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Card # 2 CVV (3 digits on back of most cards, 4 on front of AMEX)
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