2012 WORLD OVERCOMERS MINISTRY
 Western Caribbean Getaway Cruise
Registration Form
 (Separate form required for each person)

 
* PASSPORT REQUIRED
 
Select all that apply

  
 $549 Interior Stateroom / double occupancy (Deck 2, 6, 7) $679 Oceanview Stateroom / double occupancy (Deck 3)
$739 Balcony Stateroom / double occupancy (Deck 6 , 7, 8) Other Stateroom / Suite
Travel Protection Yes     No
$29.00 Interior, $59.00 Oceanview, $59.00 Balcony		  Prepaid Gratuities $34.95  Yes     No
Air On Your Own Yes    No  Group Air (Based on Availability) Yes    No
Airport Transfers (TBA) Yes    No  Day Before Arrival (Fort Lauderdale, FL) Yes    No
Name*       Birthdate*       Passport Yes    No
 
Rooming With
Home Address* 
City*      State      Zip Code* 
 
Phone 1*        Phone 2        Email 
 
IN CASE OF EMERGENCY CONTACT      CONTACT PHONE NUMBER   
 
Special Needs or Request
 
* Required Fields


 

Information provided in this form will only be used by Travelpros Travel Agency. CLIA Cruise Lines International Association
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