Join us on an

Italian and Greek Islands Cruise
October 5-15, 2018

~Registration Form~

A deposit of $900 per cabin is due upon registration to hold your space. Second deposit of $1500.00 will be due January 20, 2018 to secure your airfare. Airfare is non refundable once purchased. Final payment due: June 15th, 2018. After that date it is non refundable. Insurance is not included but highly recommended. We are planning a 4 day pre land tour (1 night Rome, 1 night Assisi, 2 nights Siena with day trips to Florence and San Gimignano) that would change your departure date to 10/1/2018 . The cost of this will be $1150 per person. Payment will not be due until your final payment.

Full Legal Name

Must match your Passport. If you have a middle name please include it on the line with your first name.

First Name

Last Name

Birth Date

MM

DD

YYYY

Passport Number

Passport Issue Date

MM

DD

YYYY

Passport Expiration Date

MM

DD

YYYY

Room Mate Name (Must match Passport)

First Name

Last Name

Room Mate Birth Date

MM

DD

YYYY

Room Mate Passport Number

Room Mate Passport Issue Date

MM

DD

YYYY

Room Mate Passport Expiration Date

MM

DD

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number

(###)

###

####

Email Address

Method of Payment

You will be invoiced for your deposit. If you choose to pay by credit cards 3% service fee will be added.

Choice of Stateroom

Which type of stateroom do you wish to reserve?

Veranda Stateroom

Outside Cabin

Pre-land tour

Are you interested in the 5-day pre-land tour to Rome, Assisi, and Siena?

Yes

No

Join us on an

Italian and Greek Islands CruiseOctober 5-15, 2018

~Registration Form~

Italian and Greek Islands Cruise
October 5-15, 2018