| Please
complete the form below and then click the "submit " button. Once
received, your reservations will be completed and confirmed by us within 24
hours, and you will receive a detailed confirmation from us both my mail and
by Email. If we encounter any problems in doing so, or if we have any
questions regarding your specific requests, we will contact you immediately.
Of course if you have any questions, please feel free to contact the
CruiseGourmet.com Cruise Desk at Hartford Holidays Travel anytime, at (800)
828-4813. We look forward to welcoming you aboard!
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| 1st Passenger Full Name |
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| 2nd Passenger Full Name |
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| 3rd Passenger Full Name and
Age |
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| 4th Passenger Full Name and
Age |
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| Address: |
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| City: |
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| State: |
Zip Code: |
| Country: |
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| Evening Phone: |
Ex: 123-456-7890 |
| Daytime Phone: |
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| Fax Number: |
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| Email Address: |
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| Cabin Category Desired: |
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| Will You be Needing Air
Transportation? |
If so, From Where? |
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This cruise requires an
initial deposit of 10% of your total cruise fare, can be paid by check or
any major credit card. |
| How Will You Pay Your Deposit:: |
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| If Credit Card, please enter
the number: |
Expires
Ex. 01/03 |
| Name as it Appears on Card |
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