EmailMe Form - Cruise Deposit Form CC

P.O. Box 50
Morton, PA 19070
1-800-423-0247

Cruise Destination *

Cruise Line

Departure Date *

MM / DD / YYYY

Group Leader *

First Last

Name as it appears on your passport *

Prefix First Middle Last Suffix

The charges to change an incorrect name on documents is $150.00 including FedEx charges

Date of birth *

MM / DD / YYYY

Were you born in the United States? *

Yes

No

If no, what country were you born in ?

Address *

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

Phone *

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

Mobile Phone

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

Email

By entering your email address, you will receive an email confirmation of your submission which includes a copy of the completed form.

Passport Number

Date of Issue

MM / DD / YYYY

Date of Expiration

MM / DD / YYYY

Issuing Authority

United States Department of State

Other

If not the US Department of State please enter Other here

Will you be traveling with a roommate? *

Yes

No

Name of Person with whom you will be Rooming

Choice of Dining

Main Seating

Late Seating

Any Time Dining

Bed Preference

1 Queen Bed

2 Lower Beds

Triples (2 Lowers, 2 Uppers)

What special occasion will you be celebrating on your trip?

If you have traveled with this cruise line before, please provide your past passenger number

Is airfare included on this reservation? *

Yes

No

If included, what is the departure city and airport? *

Emergency Contact Person

First Last

Relationship to you

Emergency Contact's Address

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

Emergency Contact's Phone

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

Cabin Category *

Please include Inside, Outside, Balcony, etc and letters or numbers of your cabin category

Cabin Category Price *

$ Dollars . Cents

Your credit card will not be charged this amount

Amount of Deposit to book your room *

$ Dollars . Cents

Your deposit will secure your reservation. The rest of your trip cost is due by your final payment date.

Name as it appears on your credit card

First Middle Last

Please call us with your credit card number ~ 1-800-423-0247

Arch Roam Right's Travel Insurance

Click here to view Travel Insurance information on our website

Would you like Travel Insurance?
TRAVEL PROTECTION IS RECOMMENDED, OPTIONAL, AND MUST BE PAID BY CHECK.

Please make checks payable to
Grand American Tours
P.O. Box 50
Morton, PA 19070

Travel Insurance information can be found on our website by clicking the link above *

ACCEPT: I have selected to PURCHASE Travel Protection Insurance as offered by Grand American Tours. I have reviewed the Policy Coverage and accept that the policy meets my desired protection plus I understand all insurance premiums are non-refundable

DECLINE**: I acknowledge that I have received Travel Insurance information and quote; I am WAIVING access to these coverage provisions by DECLINING to purchase the travel insurance offered by Grand American Tours for my travel plans.

**If DECLINING: note that you may be able to purchase limited coverage up to 24 hours prior to travel. Ask your agent for restrictive details. Grand American Tours will not be held liable for any financial losses incurred from failure to purchase insurance coverage. Insurance Premiums are always non-refundable.

Travel Insurance

INSURANCE PREMIUM IS PER PERSON AND NON-REFUNDABLE.
Contact Grand American Tours for trip costs up to $20,000

Cancellation Policy:

Insurance premium (if purchased) is non-refundable.

Cancellation Policy: Airfare, pre and post nights, and motorcoach transportation, if included, and any Grand American Tours service fees are non-refundable at the time your final payment is due to Grand American Tours. Cruise fare cancellation policy is according to the cruise line website. If you are unable to access the cruise line website, please call our office at 1-800-423-0247 for your cruise line’s cancellation penalties. *

BY CHECKING THIS BOX, I UNDERSTAND AND AGREE TO THE CANCELLATION POLICY AND WOULD LIKE YOU TO CHARGE MY CREDIT CARD