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Direct To Travel - Group Cruise Reservation Form
Direct To Travel - Group Cruise Reservation Form
Event:
Law
of
Attraction
High
Vibes
Cruise
with
Michael
Losier
&
Friends
Date:
February
16,
2013-February
23,
2013
(7
nights)
Roundtrip:
San
Pedro
(Los
Angeles,
CA)
>
Puerto
Vallarta,
Mexico
>
Cabo
San
Lucas,
Mexico
>
Ensenada,
Mexico
>
San
Pedro
(Los
Angeles,
CA)
Cruise
Line:
Princess
/
Ship:
Sapphire
Princess
*Please
fill
out
ALL
information
below
completely
and
either
fax
to
1-800-982-6122
or
scan/email
to
info@directtotravel.com.
Booking
must
be
made
via
this
form.
Any
questions
may
be
directed
to
the
email
above
or
by
phone
at
240-405-9290
(leave
a
message
with
Lucas
Z.)
Passenger
Information>
Passenger
1
Full
Name
(including
middle):
_______________________________________________
Passenger
1
Date
of
Birth:
_____/_____/_____
(Age
at
time
of
sailing:
__________)
Passenger
1
Passport
Issuing
Agency
&
Country:
________________________________________
Passenger
1
Passport
#
___________________________________________
Birth
Country:
___________
Date
of
Issue:
_____/_____/______
Date
of
Expiry:
_____/_____/______
Have
you
(P1)
sailed
w/
Princess
before?
__________________(if
yes,
provide
rewards
#)
Phone
Number:
______________________________________________________________________________
Email:
_________________________________________________________________________________________
Passenger
2
Full
Name:
_____________________________________________________________________
Passenger
2
Date
of
Birth:
_____/_____/_____
(Age
at
time
of
sailing:
__________)
Passenger
2
Passport
Issuing
Agency
&
Country:
________________________________________
Passenger
1
Passport
#
__________________________________________
Birth
Country:
____________
Have
you
(P2)
sailed
w/
Princess
before?
__________________(if
yes,
provide
rewards
#)
Phone
Number:
______________________________________________________________________________
Email:
_________________________________________________________________________________________
Payment>
Name
on
Credit
Card:
_______________________________________________________________________
Credit
Card
Number:
________________________________________________________________________
Card
Security
Code
(3
or
4
digits):
_________________
/
Expiry
Date:
_____________________
Billing
Address:
______________________________________________________________________________
City/State-Province/Zip-Postal
Code:
_____________________________________________________
Dining>
*Leave
blank
if
anything
is
OK.
Do
you
wish
to
dine
with
any
particular
group
attendees
(please
specify)?
_____________
How
many
seats
at
the
dining
table
do
you
request?
__________
Any
location?
___________
Page 2 of 4
Cruise
Info>
(select
categories
&
pricing
per
person
below
taxes/govt
fees
estimated;
pre-
paid
gratuities,
est.
$84,
will
be
added
on
final
payment.
Email
for
other
cabin
options!)
Mini-Suite
$1224pp
Tax
$258.57
(Total
$1,482.57pp
20%
deposit
$300)
Balcony
$1064pp
Tax
$258.57
(Total
$1,322.57pp
20%
deposit
$270)
Oceanview
$804pp
Tax
$258.57
(Total
$1,062.57pp
20%
deposit
$215)
Oceanview(obstruct)$724pp
Tax
$258.57
(Total
$982.57pp
20%
deposit
$200)
Inside
Cabin
$624pp
Tax
$258.57
(Total
$882.57pp
20%
deposit
$180)
*Deposits,
taxes
and
totals
are
per
person.
*Single
rates
are
typically
double,
minus
the
taxes.
Special
single
rate
for
interior
and
oceanview
rooms
ranging
from
$1198-1598,
plus
~$84
in
taxes.
Cabin
Requests/Notes:
________________________________________________________________________
Deposit
Booking
Amount
(must
be
20%
of
total
price,
minimum,
or
more):
$_________
Do
you
wish
to
schedule
a
payment
plan
now
(if
yes,
explain
below)?
_________________________________________________________________________________________
-Same
card
as
deposit?
______________
(if
other,
please
note
______________)
*Final
Payment
is
due
prior
to
November
30,
2012.
***Would
you
like
the
full
and
final
payment
to
be
done
automatically
with
above
card
on
11/30/12?
______
Would
you
like
travel
insurance
(as
provided
by
cruise
line,
highest
coverage)?
______
*If
yes,
select:
STANDARD
or
PLATINUM
(recommended)
*Pricing
is
estimated
at
8%
of
fare
for
standard,
12%
for
platinum
for
example,
oceanview
runs
between
$60-99.
Do
you
need
to
register
a
3rd
or
4th
guest
for
the
cruise
cabin?
_________
*Additional,
lower
fees
apply
to
3rd
and
4th
passenger,
when
space
allows.
Seminar
Registration>
*This
will
be
processed
directly
by
Michael
Losier
Enterprises,
Inc.
(in
CAN).
Have
you
already
registered?
_______________
-If
no,
would
you
like
to
use
above
listed
card
for
payment?
________________
Other>
Do
you
need
to
book
a
flight?
______
Please
list
requests:
_________________________________________________________________________
Do
you
need
to
book
a
hotel?
______
Please
list
requests:
_________________________________________________________________________
Page 3 of 4
Page 4 of 4
*Room
rates
and
seminar
fee
are
based
on
double
occupancy.
If
3rd
or
4th
person
is
desired
in
room,
please
contact
info@directtotravel.com
for
current
pricing.
Single
rate
is
200%
for
the
cruise.
*You
agree
to
receive
emails
and
newsletters
from
Michael
Losier
Enterprises,
Inc.
and
Direct
To
Travel
from
time
to
time.
Passenger
1
Signature:
______________________________________________________________________
Passenger
1
Full
Name
Printed:
________________________________Date:
_______/_______/_______
Passenger
2
Signature:
______________________________________________________________________
Passenger
2
Full
Name
Printed:
________________________________Date:
_______/_______/_______
--Office
Use
ONLY
Received
on:
_____/_____/_____,
by
_____________________________________.
Payments:
Deposit
Processed
on
_____/_____/_____,
in
the
amount
of
$__________.
Payment
2
Processed
on
_____/_____/_____,
in
the
amount
of
$__________.
Payment
3
Processed
on
_____/_____/_____,
in
the
amount
of
$__________.
Final
Payment
Processed
on
_____/_____/_____,
in
the
amount
of
$__________.
Payment
notes:
______________________________________________________________________________
MLE
Seminar:
Info
sent
on:
_____/_____/_____
Confirmed
registered
on:
_____/_____/_____
Cruise:
Princess
Booking
Number:
___________________________
Total
Cost
(incl.
tax/fees):
$___________________________
Cabin
Category:
________________
/
Cabin
#___________________
Info
sent
to
guest(s)
on
_____/_____/_____
Assistive
Travel:
Contacted
on
_____/_____/_____
Provided/Notes:
_____________________________________________________________________________
Conf
#s:
______________________________________________________________________________________
Other
Notes:
____________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________