The Annual Gothic Cruise and Masquerade Ball

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6 month
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Gothic Cruise

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Booking Form

Please Click here for an Adobe Acrobat file

Contact Name:
Contact Phone:
Contact Email:

Cabin Category:
1A - Inside Deck 2:
PT - Outside Deck 2:
4B - Inside Deck 2:
4D - Oceanview Deck 6:
4J - Inside Deck 6:
6B - Oceanview Deck 2:
8A - Balcony Deck 6:
8M - Extended Balcony Decks 7-8:
OS - Jr Suite Deck 7:

Accept or Decline Insurance:

If you are traveling alone, do you want a roommate AutoAssigned? Yes No
(Once a roommate has been assigned, you will be given their name, email, and phone number, and vice versa)

1st Passenger First Name:
1st Passenger Last Name:
1st Passenger Date of Birth:

2nd Passenger First Name:
2nd Passenger Last Name:
2nd Passenger Date of Birth:

3rd Passenger First Name:
3rd Passenger Last Name:
3rd Passenger Date of Birth:

4th Passenger First Name:
4th Passenger Last Name:
4th Passenger Date of Birth:

Mailing Address Street:
Address City:
Address State:
Address Zip Code:
Address Country:

Do you wish to prepay your cruise tips? Yes No
(Cruise tips are NOT paid now, if yes, they are added to your final payment balance)

Each party is approximately $120 per person.

Precruise Party? Yes No (October 10 2009) To Be Announced

Postcruise party? Yes No (October 18 2009) To Be Announced

Do you need Airfare?:

Any Special Medical Needs?:

Celebrating Any Special Occassions onboard?:

Deposit Amount Per Website:
Method of Payment:
Credit Card Number:
Expiration Date:
Security Code On Back of Card:
Name as it appears on card:
Credit Card Billing Address:
Credit Card Billing Address:

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