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Earlier Birthday |
If you've seen
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There Will Be Dancing Nightly |
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Please Don’t Make Her Mad! |
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Rate
are per person based on two people sharing a stateroom. Third and fourth
person in
a cabin pay $570 ($470 for ages 2-18. Taxes and fees are an additional
$288.70 per person,
including third and fourth persons. Triples are available in categories B and D
and quads are
available in category E). Other categories upon request.
OUR
GROUP will also have the following included:
Fountain Soda Package-unlimited throughout cruise (value: $26.25 per person)
Dinner one
evening in the Pinnacle Grill (value: $20 per person)
One photo per
cabin (value: "priceless")
Deposit
$350 per person to hold your place. For best choice of cabin, send your deposit
as
soon as possible. Final payment due by
protection. To compare Holland America policies click
here or for Travel Guard you may click
here.
For
additional information contact:
8096 Powderbrook Lane - Springfield,
VA 22153
Fax your application to 603-698-0258 (603
is correct)
--------------------------------------------------------------------------------------------------------------------
Credit Card Letter of Authorization - NAME MUST BE AS IT APPEARS ON PASSPORT
Name:____________________________Roommate:______________________________
Address: _________________________________________State______ ZIP___________
Phone: ( ) _______________ Work:
( )______________Email:____________________
Passenger 1: Passport Number:
Date of Birth:__________________
Nationality:
Passenger 2: Passport Number:
Date of Birth: _______________
Nationality:
Emergency Contact Name: _____________________
Phone:__________________
Cruise Category:___A__B__C__D__E__K
Holland America Airfare from:_____________
Airfare including taxes and roundtrip transfers between airports and ship:
Washington Dulles: $443.00, Washington National: $419.25; Columbia, S.C. $458.50
If you would like to take the train, after
booking your cruise call 1-800-USA-Rail for a 25% discount
(check restrictions).
Other cities upon request. Prices based on those in effect as of 1/17/05 and are subject to change.
___ I will arrange my own airfare and ___ would ___would not like
$53 per person (($28
I ___will___will
not take Travel Guard insurance. (on
Holland America trip cancellation: _____standard ____platinum
Name as it appears on credit card:_____________________________________________
Billing address of card
holder:_________________________________________________
State______________________________ ZIP_______________
Credit Card __AX __DI __MC__VI Account #_____________________________
Expires:__/__
Amount to be charged for deposit: ($350 per person reserves your space)
____________ .
Amount to be charged for Final Payment on
$350 deposit per person). Please
fill in the amount to be charged. See below for total due.
Total Due: Fill in all applicable blanks:
$______ Cruise - category ___ (for __1 __ 2)
$______ Third person in stateroom ($570 or $470 ages 2-18) (Triples: category B or D)
$______ Fourth person in stateroom ($570 or $470 ages 2-18) (Quads: category E)
$______
and transfers in
$______ Transfers in Boston ___ ($28 per person) ____in Montreal ($25 per person)
$______ Pre-Boston
and/or post-Montreal packages. Ask
$ ______ Holland America Protection Plan ____ standard ___ platinum for ___ people
$_______ Cruise taxes and fees ($288.70 per person X __ people)
$______ Total
due - $_________ amount to be charged on
Not included: Shipboard gratuities for
dining and stateroom service ($10 a day per person added to your
shipboard account-you may make adjustments at the end of the cruise), shore
excursions, and anything not
mentioned above.
Signature of Cardholder:______________________________________________________
Traveler's email:____________________________________________________________