EmailMe Form - DBEC 2 Group Cruise

We have openings, but the price can be different. Contact us for prices or register and we will let you know prices. Thank you..

DeafBlind Guest's Name *

First Last

DeafBlind Guest's Email *

DeafBlind Guest's Address *

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

DeafBlind Guest's Phone Number *

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

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

DeafBlind Guest's 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.

DeafBlind Guest's Cell Phone Text Number

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

for Texting Purpose.

DeafBlind Guest's Emergency Contact Name: *

First Last

How is this emergency contact name related to you? *

Parents, Grandparents, Sister, Friend, etc.

Emergency Contact Phone Number: *

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

DeafBlind Guest's Birthdate: *

MM / DD / YYYY

Are you? *

Female

Male

Your Citizenship: *

Bed Configuration?

Twin Beds Converted into Queen Bed (together)

Separate Twin Beds

Other Configuration? (Type Below)

Do you need large print or braille for dining menu and others?

I need Large Print

I need Braille

No, I don't need it.

We cannot guarantee you will get it, but we will do our best to have Carnival provide it.

Do you depend on Tactile Signing (Hand-Over-Hand) for shows and others?

Yes, I depend totally on Tactile Signing.

Sometimes I depend on Tactile Signing depending on situations.

No, I don't need Tactile Signing as I can see Interpreters with lights on them at shows, etc.

Other (Please Explain)

Guest Name 2: *

First Last

Guest 2 Email:

Guest 2 Birthdate: *

MM / DD / YYYY

Guest 2: *

Female

Male

Guest 2 Citizenship: *

Guest 2: *

DeafBlind

Deaf

Hearing

Deaf SSP (Support Service Provider)

Hearing SSP (Support Service Provider)

Support Service Provider is a person who will be helping guide this DeafBlind guest on this ship. They are volunteers and will be treated by the ship as regular guests.

Guest Name 3:

First Last

Guest 3 Email:

Guest 3 Birthdate:

MM / DD / YYYY

Guest 3:

Female

Male

Guest 3 Citizenship:

Guest 3:

DeafBlind

Deaf

Hearing

Deaf SSP (Support Service Provider)

Hearing SSP (Support Service Provider)

Support Service Provider is a person who will be helping guide this DeafBlind guest on this ship. They are volunteers and will be treated by the ship as regular guests.

Guest Name 4:

First Last

Guest 4 Email:

Guest 4 Birthdate:

MM / DD / YYYY

Guest 4:

Female

Male

Guest 4 Citizenship:

Guest 4:

DeafBlind

Deaf

Hearing

Deaf SSP (Service Support Provider)

Hearing SSP (Service Support Provider)

Support Service Provider is a person who will be helping guide this DeafBlind guest on this ship.

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):
$25 Per Guest

With this 25 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 $250 deposit each guest are paid, so we suggest you to pay your second deposit $250 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 January 7, 2019.

First Deposit: $25 per guest due now.

Second Deposit: $250 per guest is due by October 24th, 2018 (the earlier the better so you can claim the stateroom you want).

Final Payment Due by January 7, 2019.

The Price includes cruise fare, taxes, fees & port expenses. It does not include Gratuity (tips). Final Payment is due by January 7, 2019. Which Stateroom do you want (If Available): *

2 Guests - Inside Stateroom Category 4H ($998.25 Per Guest based on double occupancy which is $1,996.50)

2 Guests - Oceanview (Window) (ask for quote). It will require full $250 deposit each guest and will be at pubic rate. We will move it into the group.

2 Guests - Balcony Stateroom Category 8E ($1,638.25 Per Guest based on double occupancy which is $3,276.50)

3 or more Guest in same stateroom above or other staterooms (2 or more Guests) (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 - $207.20 (For all 2 Guests) ($12.95 Per Day) x 8 Nights = $103.60 Per Guest

Yes for 3 Guests in same Stateroom - $310.80 (For all 3 Guests) ($12.95 Per Day) x 8 Nights = $103.60 Per Guest

Yes for 4 Guests in same Stateroom - $414.40 (For all 4 Guests) ($12.95 Per Day) x 8 Nights = $103.60 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 CARNIVAL CRUISE 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 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 4H Stateroom for $109 per Guest (Total $218 for 2 Guests).

Yes for 2 Guests in Balcony Category 8E Stateroom for $149 per Guest (Total $298 for 2 Guests).

Yes 3 or 4 Guest or other staterooms like Oceanview or others, Please ask us for quote.

No (Can decide later until at least 75 days before going on cruise.

Click Here to see Carnival Details about CARNIVAL CRUISE VACATION PROTECTION.

If you chose yes above for Carnival Cruise Vacation Protection, you will not see it being added on your invoice until we add it at the final payment date in 2019. If you prefer to pay it now or sooner than that, please let us know as it will have to be paid at the time we add the travel protection.

Travel Protection price can change anytime until you pay for travel 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.

Monthly Payment starts in July 2017. *

Yes, for Inside 4H Stateroom with $250 Deposit per Guest Plan which is $40 a month Per Guest based on Double Occupancy.

Yes, for Inside 4H Stateroom with $25 Deposit per Guest Plan which is $52 a month Per Guest based on Double Occupancy.

Yes, for Balcony 8E Stateroom with $25 Deposit per Guest Plan which is $85 a month Per Guest based on Double Occupancy.

Yes, for Balcony 8E Stateroom with $250 Deposit per Guest Plan which is $74 a month Per Guest based on Double Occupancy.

Yes, for 3 or more Guests or other stateroom not listed above (Ask us for monthly quote.)

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

Date you want to start paying each month starting in July 2017? *

5th of each Month (July 5th, Aug 5th, Sept 5th, etc.)

10th of each Month (July 10th, Aug 10th, Sept 10th, etc.)

15th of each Month (July 15th, Aug 15th, Sept 15th, etc.)

25th of each Month (July 25th, Aug 25th, Sept 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.

For those who are paying Credit/Debit Card...

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.

If you are paying by Check or Money Order/Cashier check, make sure you have it arrive to us a few days before deadline to give it time to clear the funds. When you submit the form, you will get a message of the address where to send the money to.

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

First Deposit for 2 Guests - $25 Per Guest (Total $50) You will get a space, but not stateroom reserved yet.

Full Deposit of $500 for 2 guests (will get to reserve stateroom number).

Deposit for 3 or 4 Guests in same stateroom, Please ask us for a quote.

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 or Check/Money Order *

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)

There will be a list of guest's name on the group website. Do you want to add your name on it so others know who are going on the cruise? *

Yes, I give permission to add my full name only.

Yes, I give permission to add all guest's name who are in my stateroom.

No, I want my privacy and do not want to put our names on it.

Other (write in text box below).

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 or 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.

We have openings, but the price can be different. Contact us for prices or register and we will let you know prices. Thank you..

First Deposit Due (Now): $25 Per Guest

ATTENTION:

For those who are paying Credit/Debit Card...

IMPORTANT:

First Deposit Due (Now):
$25 Per Guest