EmailMe Form - K-State Norwegian Breakaway Cruise

EmailMeForm

Name *
First Last
Please enter your legal name as it appress on your passport.
Person you are rooming with *
First Last
Your email address *
Your contact phone *
### - ### - ####
Name on Credit Card *
First Last
**Your credit card will not be charged until after you receive your reservation quote and approve it**
Billing Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
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.
Deposit is $125 per person
$ Dollars . Cents
This is not a live payment link. Your credit card is stored securely. I process all payments manually which could take up to 48 hours. Deposit is refundable up until final payment date of Nov 4.
**Credit Card Signature Required to Complete Reservation**

I am giving Cruise Planners-Jeanette Esposito authorization to process my credit card for the amount requested or the amount due by the Cruise Line or Travel Supplier.

In lieu of my credit card imprint, I (card holder) hereby authorize Cruise Planners-Jeanette Esposito to use my credit card information to process payments for the travel as agreed upon with the travel supplier.

I agree to be bound by the Terms and Conditions related to this charge. I understand in the event of cancellation or change that financial penalties may be assessed according to Cruise Planners-Jeanette Esposito or travel supplier's terms. I will not hold Cruise Planners or agent liable for these charges. *
Clear
USE YOUR MOUSE OR FINGER TO SIGN ABOVE
Please add all additional comments/requests
Add any special requests to be added on to your reservation
Passports are required to sail with the group. Please check to make sure your passports are not expiring before the cruise. *
I understand we need valid passports to sail
Passengers may be denied boarding without valid passports
There must be 1 guest at least 21 years of age to sail on Norwegian Cruise Line. *
I understand the age requirement and understand tha the cruise line will not tolerate any destructive, dangerous, or disruptive behavior during Spring Break.
Engaging in any of these behaviors could lead to being kicked off the ship as determined by Norwegian Cruise Line.