Click here for word format to email form
Group_______________        Ship_________________        Sailing Date______________

Legal Names (same as Passport no middle name)              Birthday ( MM/DD/YY )

___    _____________________________________        ________________________

___    _____________________________________        ________________________

___    _____________________________________        ________________________

___    _____________________________________        ________________________

(Please fill out one form per cabin, and please note if needing adjacent cabins)

Address______________________________        Phone Number_________________

_____________________________________        Email_________________________

_____________________________________        Cabin Category_________________

Please send me information on Travel Insurance        YES_____        NO_____
(If insurance is declined passengers should be aware of cancellation penalties as listed in the
brochure, or online, and agree to abide by them)

Special Needs or Requests__________________________________________________

Credit Card Number_________________________________        Exp______________

Name on Credit Card________________________________

(no signature required if sending via email)

Cruise Total__________      Amount being Paid__________      Today’s Date_________
(when making a payment for your cruise please email or fax me a new form per payment)

Feel free to contact me at 888-218-3378 ext. 101 or

Cruising Weddings
7831 Sycamore Dr.
New Port Richey FL 34654
866-836-8101 Fax

Brook Wilke
Travel Consultant