T.O.# 4082365
 
GROUP CRUISE  REGISTRATION FORM

Navy Nuclear Weapons Assn.

             SHIP:  Carnival Sensation

SAILING DATE:  9/27/04 – 10/2/04

BOARDING TIME:  Noon (Tampa)

ITINERARY:  Grand Cayman / Cozumel

Per person total below includes cruise, port charge and tax – based on double occupancy.    

(Optional insurance extra)

 Please check cabin choice:    INSIDE - $387.33___    WINDOW - $437.33___

 DEPOSIT DEADLINE: 5/5/04  -  $400 per cabin   (Refundable until final payment date) 

  FINAL PAYMENT DEADLINE: 7/12/04   (Periodic payments accepted with no finance charge)

PLEASE PRINT CLEARLY:   

Name on Passport or Birth Certificate*    Mailing address of first passenger in the cabin.

 1ST PASSENGER:____________________________________________         M or F        Date of Birth ________________     U.S. Citizen____

 2nd PASSENGER:____________________________________________          M or F        Date of Birth ________________     U.S. Citizen____

 ADDRESS:___________________________________________________________________________________________________________

 CITY:___________________________________ STATE:________  ZIP:________________  e-mail: _________________________________

 HOME PH.:_____________________________   WORK PH:______________________________     FAX: ______________________________

 CELL PH.:_____________________________   SPECIAL NEEDS:_______________________ ______________________________________

 * Proof of citizenship required for boarding (passport, or certified copy of birth certificate and photo ID)

IF PAYING WITH A CREDIT CARD OR DEBIT CARD, FAX THIS FORM TO:   (407) 894-5675

 MASTER CARD ___    VISA ___   AMEX ___   DISCOVER ___     EXP. DATE______________   AMOUNT_______________________          

CARD #________________________________________________  NAME  _________________________________________________________________

                                                                                                                                    MUST BE A PASSENGER IN THIS CABIN

I authorize Cruises Only  to use this credit card for payment on this cruise: __________________________________________________

                                                                                                                                    SIGNATURE OF CARDHOLDER  

*  IF PAYING BY CHECK OR MONEY ORDER, MAIL WITH THIS FORM TO:

CRUISES ONLY

Attn: DAWN MANGAN

P.O.  BOX 11068,    ORLANDO, FL  32803-0068

(* Must be RECEIVED by Cruises Only one week before above deadlines.) 

ENCLOSED:  $___________  (Make checks payable to Cruises Only)

 

                                                                                      

 

Dawn - phone:  (800) 683-7447, ext. 77219      

e-mail:  dawn.mangan@cruisesonly.com