EmailMe Form - "Great Deaf Adventure" Deaf Group Cruise

Deadline Extended for Deposit: May 7, 2017

Name *

First Last

Email *

Address *

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

Phone Number *

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

If you do not have a phone number, type 000-0000 and type a note on the bottom of this page why.

Skype name:

If you are deaf and do not have VP and are from other countries out of USA, you can give us your Skype name where we can contact you.

Cell Phone Text Number

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

for Texting Purpose.

Emergency Contact Name: *

First Last

How is this emergency contact name related to you? *

Parents, Grandparents, Sister, Friend, etc.

Emergency Contact Phone Number: *

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

Your Birthdate: *

MM / DD / YYYY

Are you? *

Female

Male

Your Citizenship:

Are you? *

Deaf

Hard of Hearing

Hearing

Bed Configuration?

Twin Beds Converted into Queen Bed (together)

Separate Twin Beds

Other Configuration? (Type Below)

Guest Name 2:

First Last

Guest 2 Email:

Guest 2 Birthdate:

MM / DD / YYYY

Guest 2:

Female

Male

Guest 2 Citizenship:

Guest 2:

Deaf

Hard of Hearing

Hearing

Guest Name 3:

First Last

Guest 3 Email:

Guest 3 Birthdate:

MM / DD / YYYY

Guest 3:

Female

Male

Guest 3 Citizenship:

Guest 3:

Deaf

Hard of Hearing

Hearing

Guest Name 4:

First Last

Guest 4 Email:

Guest 4 Birthdate:

MM / DD / YYYY

Guest 4:

Female

Male

Guest 4 Citizenship:

Guest 4:

Deaf

Hard of Hearing

Hearing

Disability or Special Needs for any guests in this stateroom?

Accessible Stateroom, diabetes, or any special needs (the cruise line might be able to help)?

Choose if any of you are: *

Age 55+

An Active duty or retired U.S. Military or Canadian Forces

An Active duty or retired member of local or state/province Law Enforcement, Fire Dept. or EMT

AARP Member

None of the Above.

Sometimes you might qualify for discounts.

Which Cruise Lines have any of you been on before? *

First Deposit Due (Now):
$100 Per Guest

With this 100 dollars deposit per person, you will have your space, but you will not have your stateroom number to choose until you pay the second deposit. you can't choose your stateroom until your second deposit of $350 deposit each guest are paid, so we suggest you to pay your second deposit $350 deposit per guest as soon as possible so you can get the best location and stateroom. Remember you can get full refund if you have to cancel by the final payment date of July 1, 2018.

First Deposit: $100 per guest due now.

Second Deposit: $350 per guest is due by May 1, 2018 (the earlier the better so you can claim the stateroom you want).

Final Payment Due by July 1, 2018.

The Price includes cruise fare, taxes, fees & port expenses. It does not include Gratuity (tips). Final Payment is due by May 1, 2017. Which Stateroom do you want (If Available): *

2 Guests - Inside Stateroom Category 10 ($1,744.58 Per Guest based on double occupancy which is $3,489.16)

2 Guests - Ocean View (Window) Stateroom Category 6 ($2,284.58 Per Guest based on double occupancy which is $4,569.16)

3 or 4 Guest in same stateroom as one of above or other Stateroom not listed above (Ask us for Quote)

Once a while the cruise line might have special promotion with cheaper rate or/and with free amenities. If they offer it at this time, I will let you know and ask you if you want the special promotion.

Do you want to Pre-Pay Gratuity (Tips)? Remember if you are not satisfied with their service, you can always go to guest service and have them reduce the gratuity cost. This is very rare as the workers are hard workers! Also if you pre pay and then price of gratuity increase, you are usually protected with the price at the time of prepayment. *

Yes for 2 Guests in same Stateroom - $405 (for all 2 Guests) ($13.50 Per Day) x 15 Nights = $202.50 Per Guest

Yes for 3 Guests in same Stateroom - $607.50 (For all 3 Guests) ($13.50 Per Day) x 15 Nights = $202.50 Per Guest

Yes for 4 Guests in same Stateroom - $810 (for all 4 Guests) ($13.50 Per Day) x 15 Nights = $202.50 Per Guest

No (You can pre-pay later or pay for it on the ship).

Click Here to see Celebrity X FAQ about Gratuity.

Do you want CruiseCare Vacation Protection? We would highly recommend it. What if your child get sick or hurt and you can't go on the cruise? What if you have emergency surgery before cruise? etc. With this protection, if there is true emergency, you will get full refund. If you cancel for any other reason, you will get 75 percent credit toward your future cruise. *

Yes for 2 Guests for Inside Category 10 Stateroom for $89 per Guest (Total $178 for 2 Guests).

Yes for 2 Guests in Oceanview Category 6 Stateroom for $119 per Guest (Total $238 for 2 Guests).

Yes 3 or 4 Guests. Please ask us for quote.

No (Can decide later until at least 90 days before going on cruise.

Click Here to see Celebrity X Details about CruiseCare Vacation Protection.

ATTENTION:

You can't choose your stateroom until full 2 deposits are paid, so we suggest you to pay both deposits as soon as possible so you can get the best location and stateroom you want as we have limited numbers and types of staterooms in this group).

Do you want to pay monthly?

We Strongly encourage you to pay monthly so you do not get a big bill at final payment. All charges for deposits and monthly payment go directly to cruise lines and you will get invoices from the cruise line. We never touch your money as it is for your and our protection.

We will figure how much you owe left after paying your deposit divided by how many months left you have before final payment date We will let you know what the amount is each month starting the next month after you pay your deposit. *

No, but I will call each time I want to pay.

Yes. Choose Date you want to pay the same day each month (below).

Date you want to start paying each month? *

5th of each Month (May 5th, June 5th, etc.)

10th of each Month (May 10th, June 10th, etc.)

15th of each Month (May 15th, June 15th, etc.)

25th of each Month (May 25th, June 25th, etc.)

I am not interested in paying monthly.

We have to manually charge your card each month, so it is not automatic. It is a free service. We try our best to charge on the same day each month, but it is possible to be 1-3 days late depending on how busy we are. If you do not see your card being charged yet after these dates, please let us know.

Credit/Debit Card (This Cruise Line do not accept money order/cashier check or personal/business check).

This will not charge to your card automatically. It will be done manually on cruise line portal. We usually do it within 24 hours. You will be charged for your deposit or whatever you choose below.

What do you want to pay now? (Your Deposit will reduce your Final Payment Due) *

First Deposit for 2 Guests - $100 Per Guest (Total $200) You will get a space, but not stateroom reserved yet.

First Deposit for 3 Guests - $100 Per Guest (Total $300) You will get a space, but not stateroom reserved yet.

First Deposit for 4 Guests - $100 Per Guest (Total $400) You will get a space, but not stateroom reserved yet.

First Deposit of $100 & Second Deposit of $350 for 2 Guests ($450 Per Guest for a total of $900) as I want to get my stateroom reserved now with stateroom number.

First Deposit of $100 & Second Deposit of $350 for 3 Guests ($450 Per Guest for a total of $1,350) as I want to get my stateroom reserved now with stateroom number.

First Deposit of $100 & Second Deposit of $350 for 4 Guests (Total $1,800) as I want to get my stateroom reserved now with stateroom number.

I want to pay everything in full today. That includes the cruise fare, taxes, port fees, and any other options I chose on this form. I want to pay all at once.

Credit/Debit Type *

We strongly recommend you to use credit/debit card. Writing a check can delay and maybe miss a deadline.

Credit/Debit Card Number (Encrypted for your protection) *

Enter your 15 Numbers for American Express or 16 Numbers for Visa, MasterCard, and Discover. If you are paying by check, ignore it.

Expiration Date (MM/YY) (Encrypted for your protection) *

CVV Number (3 Numbers on back of your card if using Visa, MasterCard, or Discover, or 4 numbers on front right side of your card if you are using American Express. (Encrypted for your protection) *

Leave any note (if desired)

IMPORTANT:

The total you see above might not be correct. For example if you want to ask for quote, it will show as 0.00 for that section.

You will be charged for your deposit today only what you chose above.

Your credit card will not be charged right away and can take up to 24 to 48 hours to be charged. We have to manually input your credit card information to the cruise line.

Remember this is not guaranteed you will get this reservation and that it depends on what is available. We will email or call you and let you know.

Deadline Extended for Deposit: May 7, 2017

First Deposit Due (Now): $100 Per Guest

ATTENTION:

Credit/Debit Card (This Cruise Line do not accept money order/cashier check or personal/business check).

IMPORTANT:

First Deposit Due (Now):
$100 Per Guest