EmailMe Form - 17th Annual 107.9 WSRZ "Jones & Company Cruise"

Passenger 1
(Legal Passport Name) *

Passenger 1
(Date of Birth) *

MM / DD / YYYY

Passenger 1
(Email) *

Passenger 1
(Phone Number) *

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

Passenger 1
(Address) *

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

Passenger 1 Shirt Size *

Passenger 2
(Legal Passport Name) *

Passenger 2
(Date of Birth) *

MM / DD / YYYY

Passenger 2 Shirt Size *

Passenger 2/If Different
(Email)

Passenger 2/If Different
(Phone Number)

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

Passenger 2/If Different
(Address)

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

Emergency Contact Person: (someone not traveling with you) *

Emergency Contact Relationship To You: *

Phone *

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

Select Your Desired Stateroom:

Prices include Port charges and fees of $200.00 per person
and government taxes and fees of $137.89 per person. NCL reserves the right to institute a fuel surcharge at their discretion at any time including after final payment.

DEPOSIT: A deposit of $250 per person is required to confirm your reservation.

FINAL PAYMENT: Final payment is due Aug. 1, 2017.

CANCELLATION PENALTIES: There is no penalty for cancellation from time of deposit until 76 days prior to departure. For cancellation from 75 to 56 days before departure the deposit is non-refundable. For cancellation from 55 to 30 days before departure the penalty is 50% of the total price per person. For cancellation from 29 to 15 days before departure the penalty is 75% of the total price per person. For cancellation within 14 days of departure the penalty is 100% of the total price per person.

COMPREHENSIVE TRAVEL INSURANCE is available and highly recommended. Travel Insurance must be paid at time of deposit.

Insurance Cost $105.00 per person double or Singles $239.00 *

MC Mini Suite - $1336.89 Per Person

BA Balcony - $1266.89 Per Person

BB Balcony - $1256.89 Per Person

Outside - Contact Us

ID Inside - $946.89 Per Person

T1 Single Studio - Contact Us

DEPOSIT: A deposit of $250 per person is required to confirm your reservation.

Prices subject to change without notice.
Note: Prices for Outside and Studio are based on prices and availability at time of booking.

Bus Transportation will be provided from the Sarasota/Bradenton area at a cost of $99.00 per person. Payable by check only with final payment.

Do You Want To Include The Travel Insurance Listed Above? *

Yes

No

Do You Want To Include The Bus Transfer? *

Yes

No

$99.00 Per Person

Card Number: *

Exp. Date (mmyy): *

Sec. Code: *

Name On Card: *

By checking this box you are acknowledging that you have read all the information above and fully understand it.

Also by checking this box you are authorizing VIP World Travel and NCL to charge the deposit amount of $250.00 per person in order for us to confirm your booking. *

I Agree