EmailMe Form - Registration Form | Cruise to Key West & Bahamas

Registration Form | Cruise to Key West & Bahamas

YES - I am interested in joining the Cruise to Key West & the Bahamas from Port Canaveral (Orlando), FL!

Led by: Dr. Samuel Peguero | August 5 - 9, 2019

Cruise Cost: cabin price & availability is booked on a first-come-first-served basis

Starting at $804 Per Person for Interior Cabin
Starting at $954 Per Person for Ocean View Cabin
Starting at $1,225 Per Person for Balcony Cabin

- $200 Deposit per person for Cruise Only

Final payment is due on: May 1, 2019

** PLEASE SUBMIT THIS FORM ONLINE ONLY! PLEASE DO NOT PRINT **

Last Name *
First Name *
Middle Name
Gender *
Male
Female
Passport Number *
Date of Issue *
MM / DD / YYYY
Date of Expiration *
MM / DD / YYYY
Country of Citizenship *
Date of Birth *
MM / DD / YYYY
Mailing Address *

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

Please make sure to include your apartment number to guarantee delivery of travel documents.
Phone *
### - ### - ####
Email *
Cabin Type: priced on a first-come-first-served basis *
Interior Cabin - Starting at $804 per person
Ocean View Cabin - Starting at $954 per person
Balcony Cabin - Starting at $1,225 per person
Total number of people in your cabin: *
To add additional family members to your registration form, please enter their information below

Passenger 2:

Last, First, Middle Name

Gender

Date of Birth

Passport #

Date of Issue

Date of Expiration

Country of Citizenship
Passenger 3:

Last, First, Middle Name

Gender

Date of Birth

Passport #

Date of Issue

Date of Expiration

Country of Citizenship
Passenger 4:

Last, First, Middle Name

Gender

Date of Birth

Passport #

Date of Issue

Date of Expiration

Country of Citizenship
Emergency Contact Name (cannot be a traveler): *
First Last
Emergency Contact Phone: *
### - ### - ####
Please Note:

1. Payment by check is payable to: Go Israel NA

2. Credit card payments are subject to a 3% processing fee (3.5% for American Express)

3. Check & Passport Copy should be mailed to:

200 Winston Drive #918
Cliffside Park, NJ 07010

4. Cruise Deposits are non-refundable and non-transferrable

5. Tips of $82 per person are not included – to be paid directly to NCL upon arrival

6. Travel Insurance costs $25 per person and is not included in the package - to be paid separately prior to departure

7. Cabin prices and discounts for 3rd + 4th people available on first-come-first-served basis

8. By signing this form you agree to all Terms & Conditions; please visit Go Israel NA Terms & Norwegian Cruise Line Terms below:

- www.goisraelna.com/terms.htm
- www.ncl.com/about/additional-terms-and-conditions

Signature: *
Today's Date *
MM / DD / YYYY

Last, First, Middle Name
Gender
Date of Birth
Passport #
Date of Issue
Date of Expiration
Country of Citizenship

Last, First, Middle Name
Gender
Date of Birth
Passport #
Date of Issue
Date of Expiration
Country of Citizenship

Last, First, Middle Name
Gender
Date of Birth
Passport #
Date of Issue
Date of Expiration
Country of Citizenship

EMF Form Builder

Report Abuse