EmailMe Form - Celebrity Flora Galapagos Sailing Request

Name *

Legal name as it appears on passport or photo ID, including middle initial or name

Email *

Phone *

Date of Birth *

MM / DD / YYYY

Gender

Male

Female

Address *

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

Second Guest Name

Legal name as it appears on passport or photo ID, including middle initial or name

Date of Birth

MM / DD / YYYY

Required for cruise quote

Gender

Male

Female

Email, Phone Number and Address of second guest if different from first guest information above.

Ship Name

Date of Sailing

MM / DD / YYYY

Pricing listed is per cabin for two. Deposit is $1800 per cabin. Final payment is due 120 days prior to travel. Pricing and availability subject to change.

Type of Cabin - Double Occupancy

Category PH - Penthouse Suite - $43837

Category SP - Premium Sky Suite with Infinite Veranda - $27637

Category SK - Sky Suite with Infinite Veranda - $29304

Category S1 - Sky Suite - $27704

Other promotions and pricing may be available.

Stateroom number, if known

Cancellation Penalties:

119-89 days prior: $900 per person
88-43 days prior: 50% of fare per person
42-22 days prior: 75% of fare per person
21-0 days prior: 100% of fare per person

Payment of $50 per person, payable to Travel On A Dream, will be required for all cancellations, regardless of date of cancellation.

Please check if you have cruised with Celebrity Cruises before

Yes

No

Please note if you qualify for any potential discount

Military

Senior

Police/Fire

Please note special needs, dietary restrictions, requests, cabin locations, etc.

If you have cruised before, indicate which cruise lines.

Have you previously worked with one of our agents?

Yes

No

If you already have a ToaD agent, please select name

How Did you Find Us?

If referred, please name who referred you.