2005

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Please write your name as it appears on your proof of citizenship.

IMPORTANT: Passengers which you list below are for ONE cabin only. If an additional cabin is requested, please fill out an adiitional form.


NAME OF PASSENGER #1:
Mr. Mrs. Ms.
 
MAILING ADDRESS:
 CITY:

 ZIP:
DAY PHONE:
EVENING PHONE:
E-MAIL:
DATE OF BIRTH:
/ /
COUNTRY OF CITIZENSHIP:
FORM OF PAYMENT: Credit Card: | Check:

Credit Card type:

Card  Number:
EXP Date:
 
If check, please provide the following information
Check Number:
Air Gateway City:
  SFO
  
Outside of Bay Area City
(Please specify):
 No Air Required:

T-SHIRT:
Women's: S | M | L | XL | XXL

NAME OF PASSENGER #2:
Please write your name as it appears on your proof of citizenship.
Mr. Mrs. Ms.   
MAILING ADDRESS:
 CITY:
 ZIP:
DAY PHONE:
EVENING PHONE:
E-MAIL:
DATE OF BIRTH:
/ /
  COUNTRY OF CITIZENSHIP:
  
FORM OF PAYMENT: Credit Card: | Check:   
  Credit Card type
Card Number
EXP Date:
 
If check, please provide the following information
Check#:
Air Gateway City:
SFO:
Outside of Bay Area City (Please specify):
 NO AIR REQUIRED:

T-SHIRT:
Women's: S | M | L | XL | XXL

NAME OF PASSENGER #3:
Please write your name as it appears on your proof of citizenship.
  
Mr. Mrs. Ms.   
MAILING ADDRESS:
CITY:

ZIP:
DAY PHONE:
EVENING PHONE:
E-MAIL:
DATE OF BIRTH:
/ /
COUNTRY OF CITIZENSHIP:
FORM OF PAYMENT: check: | Credit Card:
Credit Card type:

CC Number

EXP Date:
   

If check, please provide the following information

Check #:
Air Gateway City:
SFO
Outside of Bay Area City (Please specify):
NO AIR REQUIRED:

T-SHIRT:
Women's: S | M | L | XL | XXL

NAME OF PASSENGER #4:
Please write your name as it appears on your proof of citizenship.
 
Mr. Mrs. Ms.  
MAILING ADDRESS:
CITY:

ZIP:
DAY PHONE:
EVENING PHONE :
E-MAIL:
DATE OF BIRTH:
/ /
COUNTRY OF CITIZENSHIP:
FORM OF PAYMENT: check: | Credit Card:
Credit Card type:

Card Number:

EXP Date:
 
If check, please provide the following information
Check #:
Air Gateway City:
SFO:
Outside of Bay Area City (Please specify):
NO AIR REQUIRED:

T-SHIRT:
Women's: S | M | L | XL | XXL

 
Number of Passengers in your cabin (required): 1  2  3  4   

TYPE OF CABIN (required):

DINING (required): EARLY  LATE: PERSONAL CHOICE:
TABLE SIZE: S  M  L  
 
Medical Conditions:   Wheelchair   Diabetes Other
Cabin Rates per person based on double occupancy:

Inside Cabin-- $999
Outside Cabin-- $1149
Ocean View with Balcony --$1349

Cabin Rates per person for Third and Fourth persons in a cabin:

Call for Information

Single Occupancy Supplement (add the following supplement to the double occupancy rate):

$699 Inside/ $849 Outside/ $1049 Ocean View with Balcony

The prices listed include airfare from SFO and transfers between the airport and the ship, but do not include port and airport departure taxes/fees/fuel and passenger facility surcharges which are extra at $239.00 per person, and subject to change.

**Choice of SFO flight departures are on a first come, first serve basis. Please select your choice (required):

Thursday red-eye Friday Day Flight Friday Night red-eye Flight

** If you select Thurs red-eye or Fri day flight you must also purchase the pre-cruise hotel/transfer package at a cost of $59.00 per person.

Deposit: $250.00 per person, and is subject to a $50.00 per person cancellation fee.
This fee is applicable upon deposit.
REMINDER: Final payment is due by Nov 5, 2004

If you wish to go earlier or remain in Florida longer, please contact Kathy at PinkKat Productions for your travel arrangements.

MAKE CHECKS PAYABLE TO:  
Flying Dutchmen Travel

MAIL CHECK TO:   
Skylink Travel
c/o Flying Dutchmen Travel

1455 N. Dutton Suite A
SANTA ROSA, CA 95401 .


Other Passengers not in your cabin, with whom you would want to dine
or have cabins located close by:

*WE WILL DO EVERYTHING POSSIBLE TO PUT CABINS IN PROXIMITY, BUT CANNOT GUARANTEE PLACEMENT IN EITHER CABINS, DINNER SEATING OR AIRLINE SCHEDULE.


Travel Insurance.We strongly urge you to protect your investment. Cancellation penalties apply! We will send you a Travel Guard Insurance form for you to fill out and mail directly to Travel Guard upon our receipt of your cruise deposit.

Proof of citizenship is required for travel on this cruise.

If you have any questions concerning the cruise
or your booking, please feel free to contact either:

Contact Us

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