EmailMe Form - Traveler 1 & 2

Legal Name as it appears on your passport. *

Prefix First Last Suffix

Date of Birth *

MM / DD / YYYY

Age at time of travel *

Does this person have a passport? *

Yes

No

I'm not sure

PASSPORT # *

If NO passport put in N/A

EXPIRATION DATE OF PASSPORT *

MM / DD / YYYY

If NO passport, put in today's date

Country of Citizenship *

Country Passport Issued *

Phone # *

### - ### - ####

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Email *

Confirm

Name of your group leader

If you are traveling in a group, please give the name of the person that contacted PJM Vacations about your trip.

Dates of travel *

MM / DD / YYYY

*

MM / DD / YYYY

Destination *

Resort

Room Category

Comments

Traveler #2

Legal Name as it appears on your passport. *

Prefix First Last Suffix

Date of birth *

MM / DD / YYYY

Age at time of travel

Does this person have a passport? *

Yes

No

I'm not sure

PASSPORT # *

If NO passport put in N/A

EXPIRATION DATE OF PASSPORT *

MM / DD / YYYY

If NO passport, put in today's date

Phone # *

### - ### - ####

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Email *

Confirm

Name of your group leader

If you are traveling in a group, please give the name of the person that contacted PJM Vacations about your trip.

Dates of travel *

MM / DD / YYYY

*

MM / DD / YYYY

Comments

Have you been on a Norwegian Cruise before?

Yes

No

Cabin Category

Inside Cabin

Oceanview Cabin

Balcony Cabin

Pick 2 Amenities