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    Registration Form
    Home > Groups > Current Groups > Good Sam Club > Greek Island and Turkey Cruise > Registration Form
     
    Good Sam Club 2008 Greek Islands and Turkey Cruise
    October 11 - 18, 2008
    * Required Fields
      Passenger #1 Passenger #2
     
    Last Name as shown on your Passport *
    First Name as shown on your Passport *
    Preferred First Name
    Date of Birth: (mm/dd/yy)
    Passport Number
     
    Address Information
     
    Street Address *
    City *
    State *
    Zip Code *
    Home Phone * ( ) - ( ) -
    Cell Phone ( ) - ( ) -
    Email Address *
     
    Documents to be sent to * Above Address
    New Address
    Street Address *
    City *
    State *
    Zip Code *
     
    Cabin Information
    Test Category
    Cruise Fares
    (air not included)
    		Taxes
    Cabin Category Choice * H - Delux Suite
    $3945.00
    		$320.00
      B - Penthouse Suite
    $5180.00
    		$320.00
      VS - Voyager Suite
    $9792.00
    		   $320.00
    (If air is requested through the cruise line, additional cost and deposit will be required.)
       
    The above cruise fares are per person, based on double occupancy.
    Taxes are subject to change    .
    Trip Cancellation Insurance * Yes
    No    		 Trip cancellation insurance is available and highly recommended.
     
    Past Passenger Number
    Room Requests
    Do you need air transportation info?
    Special Occasion?
    Miscellaneous Requests
     
    Payment Information
     
    Deposit Amount * $ ($125 is nonrefundable) $ ($125 is nonrefundable)
    Credit Card Type *
    Credit Card Number *
    Expiration Date (MM/YY) *
     
    Emergency Contact
     
    Emergency Contact Name *
    Emergency Contact Phone * (ex:818-555-5555)
         I have read and agree with Terms of Use *
         I authorize Montrose Travel to charge my credit card for the deposit amount listed for this trip.*
       Yes
       No         		I authorize Montrose Travel to charge the same credit card for my trip's final payment. *
     
     
     
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