EmailMe Form - Cruise - Antarctica 12 Day Expedition

PLEASE DO NOT ABBREVIATE!

TRAVEL WITH SERENITY LLC
(770) 685-4398
glenda@travelwithserenity.net
http://travelwithserenity.net
Stockbridge, GA 30281
Henry County Chamber of Commerce, Member

Current Date *

MM / DD / YYYY

PAX No. 1 - Lead Person *

Prefix First Last Suffix

Date of Birth *

MM / DD / YYYY

Address *

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

Cell Phone *

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

EMAIL *

US Citizen *

Yes

No

City & State of Residence *

Passport Page Copy *

Departure City & Airport

PAX No. 2, List all Information

PAX No. 2

Prefix First Last Suffix

Date of Birth

MM / DD / YYYY

Address, if different

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

Cell Phone for PAX No. 2

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

EMAIL for PAX No. 2

US Citizen

Yes

No

City & State of Residence

Passport Page Copy

Departure City & Airport

CRUISE INFORMATION -- CONTACT OUR OFFICE FOR A GROUP

Preferred Expedition Dates & Starting Prices *

Starting Prices shown are for the Polar Outside Stateroom. Availability and pricing subject to change without prior notice.

Maximum Budget Per Person *

$ Dollars . Cents

All prices subject to change without prior notice.

Antarctica Expedition *

12-Day Antarctica Expedition with taxes, fees and 1 night pre-stay included

The Antarctica cruise route and program may vary according to weather conditions, seasonal changes, safety issues and wildlife migration patterns.

Add-Ons *

International flights info

Transfers from Buenos Aires airport to hotel info

Hotel second night pre-stay via supplier

Travel protection info

Add-Ons require a non-refundable Service Retainer which will be billed in advance.

Stateroom Choice *

Polar Outside - primarily on the middle decks with windows.

Arctic Superior - most have balconies. One of the most popular categories.

Expedition Suite - well appointed cabins with expansive windows and most have balconies.

Flight Booking Preference *

I, the client, will book the international flights.

Invoicing *

Single Invoice to Lead Person

Separate Invoices for Each Guest | Room Total Split Evenly

Travel Retainer Acknowledgment *

No retainer for first stateroom category quote for two persons cruise only. A non-refundable retainer will be billed in advance per additional quote, add-on quotes, extended administration, change, cancellation, etc. Payable to Travel With Serenity.

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