Cruise Line Booking Form
Registration Form
Weekend Cruise
on the beautiful
Norwegian Jewel
Sailing from New York
Saturday, March 12 to Sunday, March 16, 2012
Deposit (or additional payment) - Per Person
Make a Deposit/Payment
Choose a Category
Inside - Category KK - Deck 5 $200.00
Inside - Category J - Deck 8 $200.00
Oceanview - Category F - Deck 4/5 $200.00
Oceanview - Category CC - Deck 8 $200.00
Balcony - Category BD - Deck 8 $200.00
Suite - Category AF - Deck 11 $400.00
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Travel Insurance (Highly Recommended) - Per Person
Purchase Travel Insurance:
Travel Insurance $9.75
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Full Payment - Per Person Rates
Inside Cabin
Choose a Category
Double - Category KK - Deck 5 $810.00
Triple - Category KK - Deck 5 $795.00
Quad - Category KK - Deck 5 $790.00
Single - Category KK - Deck 5 $1215.00
Double - Category J - Deck 8 $915.00
Triple - Category J - Deck 8 $805.00
Quad - Category J - Deck 8 $795.00
Single - Category J - Deck 8 $1120.00
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Oceanview Cabin
Choose a Category
Double - Category F - Deck 4/5 $815.00
Triple - Category F - Deck 4/5 $810.00
Quad - Category F - Deck 4/5 $800.00
Single - Category F - Deck 4/5 $1255.00
Double - Category CC - Deck 8 $940.00
Triple - Category CC - Deck 8 $815.00
Quad - Category CC - Deck 8 $805.00
Single - Category CC - Deck 8 $1375.00
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Balcony Cabin
Choose a Category
Double - Category BD - Deck 8 $945.00
Triple - Category BD - Deck 8 $930.00
Quad - Category BD - Deck 8 $810.00
Single - Category BD - Deck 8 $1215.00
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Suite
Choose a Category
Double - Category AF - Deck 11 $2595.00
Triple - Category AF - Deck 11 $1290.00
Quad - Category AF - Deck 11 $1060.00
Single - Category AF - Deck 11 $3261.00
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GRAND TOTAL:
Passenger #1: Personal Information
*
First Name:
Exact Name on Passport
*
Last Name:
Exact Name on Passport
*
E-Mail:
Valid e-mail is required
*
Address Line 1:
Address Line 2:
*
City:
*
State:
Choose a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*
Zip Code:
Gender:
Select Gender
Male
Female
*
Date of Birth
*
Citizenship:
*
Phone:
*
Do you have a 2nd passengers to book?
Yes
No
Credit/Debit Card Information
*
Card Number:
No dashes or spaces please
*
Expiration Month:
Month
January
February
March
April
May
June
July
August
September
October
November
December
From your card
*
Expiration Year:
Year
2009
2010
2011
2012
2013
2014
2015
2016
From your card
*
Card Type:
Choose a Card
American Express
Discover
Master Card
Visa
*
Security Code:
3- or 4-digit code
*
Card Mailing Address:
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