EmailMe Form - Mardi Gras Super Cruise Registration

Preferred Cabin Category *
Secondary Cabin Category
Option to select "Secondary Cabin Category" in the event "Preferred Cabin Category" is unavailable.
Not a mandatory selection
Occupancy *
Guest 1 (Lead Name on Invoice)
First Last
Legal Name as it appears on government issued ID
DOB *
MM / DD / YYYY
Click on calendar to enter birthdate
Carnival Past Passenger? *
Yes
No
Phone *
### - ### - ####
Customer contact # required by Carnival
T-Shirt Size *
Super Cruise Souvenir T-Shirt;
All T-Shirts are Men's Sizes
Guest 2 *
First Last
Legal Name as it appears on government issued ID
DOB *
MM / DD / YYYY
Click on calendar to enter birthdate
Carnival Past Passenger? *
Yes
No
Phone *
### - ### - ####
Customer contact # required by Carnival
T-Shirt Size *
Super Cruise Souvenir T-Shirt;
All T-Shirts are Men's Sizes
Guest 3 *
First Last
Legal Name as it appears on government issued ID
DOB *
MM / DD / YYYY
Click on calendar to enter birthdate
Carnival Past Passenger? *
Yes
No
Phone *
### - ### - ####
Customer contact # required by Carnival
T-Shirt Size *
Super Cruise Souvenir T-Shirt;
All T-Shirts are Men's Sizes
Guest 4 *
First Last
Legal Name as it appears on government issued ID
DOB *
MM / DD / YYYY
Click on calendar to enter birthdate
Carnival Past Passenger? *
Yes
No
Phone *
### - ### - ####
Customer contact # required by Carnival
T-Shirt Size *
Super Cruise Souvenir T-Shirt;
All T-Shirts are Men's Sizes
Dining Request *
Main 6:00 PM
Late 8:15 PM
Your Time Dining
Invoicing *
Single Invoice Lead Name
Separate Invoices for Each Guest | Room Total Split Evenly
For separate invoices please add name and email address in Additional Information box below.
Email for Invoice *
Please Select Card for Deposit *
Deposit of $100 per person is required to secure this reservation. *
$ Dollars
Please enter 3 digit dollar amount. Example: 200 for $200.00
Name on Card *
First Last
Credit Card *

Card Number

Expiration

MM /

YY CVV

What is this? 3 or 4 digit number printed on the back/front of your credit card

Protected in vault Data collected via fields that have our security seal are encrypted and stored with the highest global security standard — PCI compliance. Your data is absolutely safe in Vault.
Carnival Gift Card *
Billing Zip Code *
4 digit PIN # *
Unique ID
Additional Information
Do you have benefits from a cancelled Carnival Cruise?
Please include here.
Payment Authorization
By submitting you authorize the Super Crew at KHM Travel Group to charge the indicated card and amount listed above with Carnival Cruise Line.

Payment Authorization