2013 Registration Form « PositiveCruise.com

November 2 – 9, 2013

Carnival Liberty from Miami - Visiting Honduras, Belize, Grand Cayman and Cozumel

Passenger Information

Passenger 1:*

FirstLast

Full legal name as on passport

Nickname:

Cruise Line Loyalty Program Number:

Date of Birth:*

MM

DD

YYYY

Email:*

Phone:*

I am a:

Address:*

Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry

Passenger 2:

FirstLast

Nickname:

Cruise Line Loyalty Program Number:

Date of Birth:

MM

DD

YYYY

Email:

How did you hear about this cruise?

Number of cruises you've been on:

Cabin Information

Select your top 3 Cabin Preferences

First Choice:*

Second Choice:*

Third Choice:*

Suites are available upon request

A $250.00 per person is required. Final Payment is due by August 5, 2013 Rates are per person based upon two in a cabin. Please add $109.00 port tax.

Single occupancy rate is double the above rates.

Single and double occupancy cabins require a $500 deposit. If you are registering for our roommate share program you either need to place $500 to hold the cabin or if you want to pay only $250 I can only book you once I match another person with you.

Match me with a cabin mate:*

Yes
No

Please note that you may find your own room mate up until August 5, 2013 . After that date you we will be assign you a room mate. Once room mates are assigned no changes are permitted without changes fees imposed by the cruise line.

Name of Roommate:

FirstLast

Beds:

I prefer a single cabin & will pay the single supplement:

Yes
No

Billing Information

Cardholder Name:*

Card Type:*

Card Number:*

Security Code:*

Expiration:*

(MM/YEAR)

I authorize Cruise Designs to charge deposits and final payments to my card.*

Authorize

Electronic Signature:*

Final payment is due on or before August 5, 2013. This card will automatically be charged for final payment unless notified of different form of payment prior to August 1, 2013.

Cancellation and Trip Insurance Information

Initial booking until 100	$50.00 per person
99 – 76 days before sailing	$100.00 per person
Within 75 – 30 days of sailing	Loss of Deposit
Within 29 – 8 days of sailing	50% of Total Fare
Within 7 days of sailing	100% of Total Fare

I want insurance:*

Yes
No

Trip cancellation insurance is strongly recommended. Insurance will allow you to recover monies lost from the insurance company. Covered reasons include medical, death, hurricanes/bad weather, jury duty, damage to home, etc. The cost of the insurance depends on the price of your trip and your age. For example trips under $1000.00 for people up to the age of 59 will cost $86.00.

I have read, understand and accept the information regarding cancellations and insurance.*

Yes

Electronic Signature:*

2013 Registration Form

Passenger Information

Cabin Information

Billing Information

Cancellation and Trip Insurance Information

Testimonials from Past Travelers