EmailMe Form - Adult Va'Caying - VirginVoyages Cruise

EmailMeForm

Name as it appears on your Government ID: *
First Last
Date of Birth: *
MM / DD / YYYY
Phone *
### - ### - ####
Your Email: *
Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Does everyone traveling have a US Passport? *
Yes
No
Domestic travel, not required
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GUEST #2 (Name as it appears on your Government ID):
First Last
GUEST #2 (Date of Birth):
MM / DD / YYYY
Does everyone traveling have a US Passport?
Yes
No
Domestic travel, not required
GUEST #3 (Name as it appears on your Government ID):
First Last
GUEST #3 (Date of Birth):
MM / DD / YYYY
Does everyone traveling have a US Passport?
Yes
No
Domestic travel, not required
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GUEST #4 (Name as it appears on your Government ID):
First Last
GUEST #4 (Date of Birth):
MM / DD / YYYY
Does everyone traveling have a US Passport?
Yes
No
Domestic travel, not required
List all hobbies, leisure activities, and professional and social affiliations:
(I am a member of the local art guild” or “I love wine to go to wineries”)
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VACATION/CRUISE PACKAGE TYPE:
Please check the vacation package you would like. *
Cruise Only
Cruise + Flight Package
Cruise + Flight Package + transportation
Cruise + Flight Package + (pre and/or post hotel) + transportation
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Cabin/Stateroom ONLY:
See "TYPES OF CABINS" on the Adult VaCaying 2024 itinerary for pictures and details about each cabin. *
... Suite ($$$$) (I will reach out directly)
... Balcony: XL Sea Terrace ($2,751 per cabin)
... Balcony: Central Sea Terrace ($2,548 per cabin)
... Balcony: Ltd Sea Terrace ($2,338 per cabin)
... Window: Sea VIEW ($2,113 per cabin)
... Interior: Insider ($2,083 per cabin)
prices are submitted to changed until booked
Cabin/Stateroom Count: *
How many mates are in your cabin?
STATEROOM BEDDING TYPE: *
King
2 Double/Twin
Does anyone in the stateroom/cabin need ADA accommodations-accessible room? *
Yes
No
STATEROOM/CABIN LOCATION? *
Noise
Motion
Smell
Please just select the one you are most sensitive to. This will make sure to pick the right cabin for your needs.
Use this area to list any health concerns:
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TRAVEL PROTECTION *
Yes, hook me up
Nope
Send it later
Travel protection is required but preferred. If you decide not to choose travel protection, a waiver must be signed.
Are you celebrating a special occasion? *
(Honeymoon, Birthday, Anniversary, etc.)
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WILL YOU NEED AIRFARE?: *
YES
NO
Home Airport choices:

AIRPT #1:

AIRPT #2:
TRANSFERS TO/FROM THE AIRPORT TYPE: *
Shared transfers
Private transfers (just your party)
Luxury Private
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EXCURSION INTEREST *
Yes, hook me up
Nope
Maybe, send me something
What is on your excursion bucketlist?
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Emergency Contact Information? *
First and Last Name, contact number and email address
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How did you hear about us? *
Friend/Family Member
Internet/Facebook/IG
Google
Other
*

Name of the person who referred you?

How do you normally book vacations?
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How soon are you looking to pay your deposit to secure your vacation? *
Within 48 hours
Within 1 week
Within 2 weeks
Within 1 month
Within 3 months
Within 6 months
BEST WAY TO COMMUNICATE *
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Credit Card Authorization, Cancellation, Penalties, and Fees, Chargebacks
NON REFUNDABLE/SERVICE FEE: *
I Understand (if applicable);
I understand that I will be charged a one-time service fee of $50 and give Legna Travel Services permission to charge your card on file for airfare, hotel, or car rental-only bookings.
Changes Made Due To Client: *
I Understand (if applicable);
I understand that any changes to my reservation after the deposit has been applied will incur a $50 penalty per request. i.e. Name, Add, Remove, Upgrade Room, Replace, etc.
Reduced Deposits are NON REFUNDABLE/NON EXCHANGABLE! *
I Understand (if applicable);
Your reduced deposit will not be refunded, nor can you apply it towards another trip if you cancel, and NO credit will be issued towards future travel - per the supplier's policy and procedure.
Legna Travel Agency (“LTA”) acts as a sales agent for any airline, hotel, car-rental company, tour operator, cruise line, or other service provider named in your itinerary (“Suppliers”). LTA is not responsible for acts or omissions of the Suppliers or their failure to provide services or adhere to their own schedules.

LTA assumes no responsibility for and shall not be liable for any refund, personal injury, property damage, death, or other loss, accident, delay, inconvenience, or irregularity which may be caused by: (1) any defaults, wrongful or negligent acts, or omissions of the Suppliers; (2) any defect in or failure of any vehicle, craft, equipment, or instrumentality owned, operated, or otherwise used or provided by the Suppliers; (3) any wrongful or negligent acts or omissions on the part of any other party not under LTA'S control; and (4) any Supplier price drop after your travel arrangements have been confirmed, paid in full, or ticketed. You hereby release LTA from all claims arising out of any problem covered in this paragraph.

Travel arrangements involving airline and cruise components are subject to supplemental price increases that may be imposed by the supplier and/or government after you have completed your purchase. You hereby consent to any such price increases and authorize your credit or debit card to be used for them. Suppliers have their own contracts covering cancellation penalties and other terms and conditions, and you may be bound by those contracts regardless of whether you receive notice of their terms. By signing below, you are consenting to those terms and conditions.

LTA has no special knowledge regarding the financial condition of the Suppliers, unsafe conditions, health hazards, weather hazards, or climate extremes at locations to which you may travel.

For information concerning possible dangers at destinations, LTA recommends contacting the Travel Warnings Section of the U.S. State Department at (202) 647-5225 or www.travel.state.gov. For medical information, LTA recommends contacting the Centers for Disease Control at (877) FYI-TRIP or www.cdc.gov/travel. You assume full and complete responsibility for checking and verifying any and all passport, visa, vaccination, or other entry requirements of your destination(s), and all conditions regarding health, safety, security, political stability, and labor or civil unrest at such destination(s).

I hereby release LTA from all claims arising out of any problem mentioned including death. You agree that the courts in Stafford County will be the exclusive jurisdiction for all claims brought by you by LTA, and you hereby submit to the personal jurisdiction of those courts. *
Yes I Understand AND Agree;
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CREDIT/DEBIT CARD DETAILS:
Payment to Charge:
Deposit $477 per cabin
Full Amount
Other Amount
Interested in "UPLIFT"

REMEMBER: Final Payment Due, March 22, 2024
Add the Amount to Charge here:
$ Dollars . Cents
Credit Card

Card Number

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.
DATE you wish the charge to be processed?
MM / DD / YYYY
Name on Credit/Debit Card:
ENTER Complete address including ZIP CODE:
Credit/Debit Card Billing Address:
ENTER Complete address including ZIP CODE:
Signature
Clear
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Thank you for taking the time to complete the qualifying form. Someone will be following up with you soon.

Thank you, Legna Travel

AIRPT #1:
AIRPT #2:

Name of the person who referred you?
How do you normally book vacations?

Legna Travel
P.O. Box 5691 * Fredericksburg, VA 22403
O: 540.699.0992 * E: info@legnatravel.com * W: legnatravel.com

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Credit Card Authorization, Cancellation, Penalties, and Fees, Chargebacks