EmailMe Form - Cruise

You will need the full name, birthdate, address, email, of telephone of each person in your cabin to complete the Booking Authorization Form.

ONE QUOTE PER STATEROOM

PLEASE DO NOT ABBREVIATE!

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

Current Date *

MM / DD / YYYY

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 *

All Travelers US Citizen *

Yes

No

City & State of Residence *

Is anyone that will be in your cabin . . . .

Active/Retired Military

Active/Retired Firefighter

Active/Retired Police

55+ Years Old

CRUISE PLAN

Cruise Departure Date *

MM / DD / YYYY

Cruise Options *

Stateroom - Price to be listed on proposal. *

Interior

Ocean View

Verandah

Concierge Suite with Verandah

How travelers?

How many cabins will you need?

Will an accessible stateroom be required? *

Yes

No

Invoicing *

Single Invoice to Lead Person

Separate Invoices for Each Guest | Room Total Split Evenly

Travel Retainer Acknowledgment *

There is no retainer for a starting price quote for up to 4 travelers. A minimum non-refundable retainer of $45.00 via PayPal to glenda@travelwithserenity.net or Cash App at $glenda1119 due in advance for a full cruise profile.

Comments or Special Instructions:

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