EmailMe Form - PRICING REQUEST FOR PANAMA CANAL CRUISE

PRICING REQUEST FOR PANAMA CANAL CRUISE

____________________________________________________________
Welcome to the next step in planning your trip! I would like to make your vacation hassle free and finalizing accurate paperwork is an essential step. In an effort to ensure proper travel documentation requirements are met and security issues are avoided; please complete the following form fully and accurately. All submitted information is secure, properly protected, and used exclusively for your upcoming reservation. It comes only to me, Jana Huse, via email and then I will input to provide you an accurate quote.

The cruise we are looking to book is with Princess cruise lines sailing Oct 7, 2019 for 10 nights. The cruise departs from Ft Lauderdale. See complete details at www.Travelooza.com/19PanamaCruise
Or you can call Jana Huse at 785-259-8696 or email Jana@Travelooza.com for more details.

Person making the reservation: *
First Last
Best Contact Phone while traveling: *
### - ### - ####
Email *
If you have sailed Princess Cruises before, please provide your loyalty number.
Mailing Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code
CABIN CATEGORY PREFERRED
We have several different room categories in the group with confirmed rates as seen below. If you would like to have a different category, please describe and I will do my best to see what is available.
CABIN CHOICE
MB Mini Suite Balcony
MD Mini Suite Balcony
BD Balcony
OE Oceanview
IB Interior
Other
Once I receive your request, I will send over a confirmation showing complete pricing, using whatever promo applies, for first and second passengers in the cabin. Third and/or fourth passengers will be reduced amount, varies by cabin category. *THERE WILL BE HIGHER RATE IF JUST ONE PERSON IN CABIN
Will you be celebrating an anniversary or other special date while on the trip? And on which date?
Bedding Preference:
Beds apart
Beds together
INFORMATION ON TRAVELERS
Please provide all information needed for booking flight and hotel reservations. Accuracy is key so enter carefully and double check! For a cruise, a passport is not mandatory but highly recommended.
TRAVELER #1-- Name exact as on passport or photo ID *
Prefix First Middle Last Suffix
Birth date *
MM / DD / YYYY
TRAVELER #2-- Name exact as on passport or photo ID
Prefix First Middle Last Suffix
Birth date
MM / DD / YYYY
TRAVELER #3-- Name exact as on passport or photo ID
Prefix First Middle Last Suffix
Birth date
MM / DD / YYYY
TRAVELER #4-- Name exact as on passport or Photo ID
Prefix First Middle Last Suffix
Birth date
MM / DD / YYYY
EMERGENCY CONTACT INFORMATION
Please provide a contact to be used for airlines and such when traveling.
Emergency Contact while traveling
First Last
Phone
### - ### - ####
Email
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code
Comments/Questions:

CABIN CATEGORY PREFERRED

INFORMATION ON TRAVELERS

EMERGENCY CONTACT INFORMATION