EmailMe Form - Registration for Deaf Sea Tour Group (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 and explain 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 are you related to this emergency contact name? *
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? *
Carnival
Celebrity X
Disney
Holland America
MSC Cruise
Norwegian
Royal Caribbean
None (First Time Cruise)
Other
Sometimes there is a discount if you were past guest for the cruise line you were on before.
1st Deposit $50 Per Stateroom is due by March 31, 2016

2nd Deposit $450 Per Stateroom is due by May 12, 2017 (for those not paying monthly)

Final Payment is Due by June 15, 2017.
The Price includes cruise fare, Hotel, transfers, gratuity (tips), taxes, port fees, group shirts, group picture, and two group amenity bonuses . Final Payment is due on June 15, 2017. Which Stateroom do you want (If Available): *
2 Guests Inside Stateroom IB ($997.61 Per Guest)
3 or 4 Guests Inside Stateroom IA (Ask for Quote)
2 Guests Oceanview (Window) Stateroom OB ($1,127.61 Per Guest)
3 or 4 or 5 Guests Oceanview (Window) Stateroom (Ask for Quote)
2 Guests Balcony Stateroom BA ($1,357.61 Per Guest)
3 or 4 Guests Balcony Stateroom (Ask for Quote)
Other Stateroom (Studio, Suites, etc.) (Ask for Quote)
The third guest or more in the same stateroom usually cost less than the first and second guest's rate.
Do you want BookSafe Travel Protection Plan? 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 Inside Stateroom IB Standard Travel Protection ($99 Per Guest))
Yes for 2 Guests Inside Stateroom IB Platinum Travel Protection ($149 Per Guest))
Yes for 3 or 4 Guests Inside Stateroom IA (Ask for Quote)
Yes for 2 Guests Oceanview (Window) Stateroom OB Standard Travel Protection ($99 Per Guest))
Yes for 2 Guests Oceanview (Window) Stateroom OB Platinum Travel Protection ($149 Per Guest))
Yes for 3, or 4 Guests Oceanview (Window) Stateroom (Ask for Quote)
Yes for 2 Guests Balcony Stateroom BA Standard Travel Protection ($109 Per Guest))
Yes for 2 Guests Balcony Stateroom BA Platinum Travel Protection ($159 Per Guest))
3 or 4 Guests Balcony Stateroom (Ask for Quote)
Other Staterooms (Studio, Suites, etc. (Ask for Quote)
No (Can decide later until 75 days before going on cruise)
Click Here to see Norwegian Cruise Details about BookSafe Travel Protection Plan.
Credit/Debit Card 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) *
Deposit for 2 Guestsr Inside Stateroom IB - $50 Per Stateroom $50 then pay $65 a month per guest ($130 a month for both guests) starting in April 2016 to June 2017.
Deposit for 2 Guests for Oceanview (Window) stateroom OB - $50 Per Stateroom $50 then pay $74 a month per guest ($148 a month for both guests) starting in April 2016 to June 2017.
Deposit for 2 Guests for Balcony Stateroom BA - $50 Per Stateroom $50 then pay $89 a month per guest ($178 a month for both guests) starting in April 2016 to June 2017.
Deposit for 3 or 4 Guests in any Stateroom, please ask for a quote.
Deposit for other stateroom (Studio, Suites, etc.) please ask for a quote.
I do not want to pay monthly. I will pay $50 Deposit per Stateroom then pay the rest later.
Want to Pay a different amount (Put down in box below the different amount)? Only Type in Numbers and no Symbols like $, etc.
If you want to pay in full, please add up what you chose above and put it in the box above.

You will not be able to get your stateroom confirmation number and room number until $250 dollars each guest is paid for due to Norwegian Cruise Policy. If you want to get your stateroom now, put in the deposit of $500 or more in the box above. For those who want studio stateroom only have to pay $250 Deposit. Then we will adjust the monthly payment if you desire monthly payment.
Date you want to start paying each month starting in April 2016 to June 2017?
MM / DD / YYYY
Please Choose any date between April 1- 30, 2016. I would recommend between April 1 - 14 as the final due date is on June 15, 2017. IF YOU ARE NOT WANTING TO PAY MONTHLY, IGNORE THIS.
Credit/Debit Type or Personal Check, Money Order/Cashier Check.
We strongly recommend you to use credit/debit card. Writing a check can delay and maybe miss a deadline.
Credit/Debit Card Number
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)
CSC (Security Number on back or front of the Card)
It is 3 numbers on the back of Visa, MasterCard and Discover Card. If you have American Express, it is four numbers on the front right side of the card.
Leave any note (if desired)
IMPORTANT:
Remember this is not guaranteed you will get this reservation and that it depends on what is available. We will call you and let you know.

If your reservation is approved, that is your total cost for the cruise that you choosed above. If you chose the one that tells you to ask us for a quote, the total below is not correct. You will only be charged for the deposit or whatever you asked us above on the "What do you want to pay now".

Once we charge your deposit, the total will be the total minus what you paid your deposit for.

If there are errors, we will not be liable and will let you know before we charge your card.

1st Deposit $50 Per Stateroom is due by March 31, 2016

Credit/Debit Card or Personal/Business Check

IMPORTANT: