CLIENT RESERVATION / QUOTE FORM

Name of 1st passenger

First NameMiddle NameLast Name
Is this passenger male or female? (must match passport, identification, or birth certificate)
Is this passenger a US citizen?
If not a US citizen what country is this passenger a citizen of?
Does this passenger have a current passport? Passport is highly suggested. Your passport expiration date must be valid for a minimum of 6 months after your returning cruise date.
Yes or No
Date of Birth

MonthDayYear
Date
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Do you have a dining time preference?

Early DiningLate DiningAnytime Dining (if available)
Name of 2nd passenger

First NameMiddle NameLast Name
Is this passenger male or female? (must match passport, identification, or birth certificate)
Is this passenger a US citizen?
Yes or No
If not a US citizen what country is this passenger a citizen of?
Does this passenger have a current passport? Passport is highly suggested. Your passport expiration date must be valid for a minimum of 6 months after your returning cruise date.
Yes or No
Date of birth

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Name of 3rd passenger

First NameMiddle NameLast Name
Is this passenger male or female? (must match passport, identification, or birth certificate)
Is this passenger a US citizen?
Yes or No
If not a US citizen what country is this passenger a citizen of?
Does this passenger have a current passport? Passport is highly suggested. Your passport expiration date must be valid for a minimum of 6 months after your returning cruise date.
Yes or No
Email
example@example.com
Date of birth

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Name of 4th passenger

First NameMiddle NameLast Name
Is this passenger male or female? (must match passport, identification, or birth certificate).
Is this passenger a US citizen?
Yes or No
If not a US citizen what country is this passenger a citizen of?
Does this passenger have a current passport? Passport is highly suggested. Your passport expiration date must be valid for a minimum of 6 months after your returning cruise date.
Email
example@example.com
Date of birth

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Name of 5th passenger

First NameMiddle NameLast Name
Is this passenger male or female? (must match passport, identification, or birth certificate)
Is this passenger a US citizen?
Yes or No
If not a US citizen what country is this passenger a citizen of?
Does this passenger have a current passport? Passport is highly suggested. Your passport expiration date must be valid for a minimum of 6 months after your returning cruise date.
Email
example@example.com
Date of birth

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Name of 6th passenger

First NameMiddle NameLast Name
Is this passenger male or female? (must match passport, identification, or birth certificate)
Is this passenger a US citizen?
Yes or No
If not a US citizen what country is this passenger a citizen of?
Does this passenger have a current passport? Passport is highly suggested. Your passport expiration date must be valid for a minimum of 6 months after your returning cruise date.
Email
example@example.com
Date of birth

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
ATTENTION!!!!!!!

If you are traveling with children who have a different last name:

In addition to the travel documents that all guests need to sail, you'll need a birth, marriage, divorce, or adoption certificate. Here are some examples of valid supporting documents:

State, county or province-issued marriage license
Divorce decree
Government-issued name change document
Official adoption paper

If you are traveling with a minor child who is not your own:

Adults who are not the parent and/or legal guardian of any minor child traveling with them are required to present the child’s valid travel documents and an original notarized letter signed by the child’s parents(s)/legal guardian(s). The required notarized letter from the child’s parent/legal guardian must authorize the traveling adult to take the child on the cruise, taking full responsibility for that child and give medical authority to the traveling adult. Please note, this form must be signed in the presence of a notary by at least one of the child's parents or legal guardians. You’ll need to provide a copy of this signed, notarized form to be presented at check-in. If you do not have a notarized letter at embarkation the child can be denied boarding. Penalties will apply.

Please check with the cruise you are traveling with for specific forms required for minors not your own.
Emergency Contact

First NameLast Name
Emergency Contact Telephone #
Please enter a valid phone number.
Is anyone in your party employed in law enforcement, fire department, or EMT?

YesNo
Is anyone in your party active/retired military or a military veteran?

YesNo
Is anyone in your party a nurse?

YesNo
Is anyone in your party a teacher (including retired)?

YesNo
Is anyone in your party employed by a local, state, or federal government?

YesNo
Is anyone in your party a first time cruiser?

YesNo
If so whom ( please list all 1st time cruisers )
If you have sailed before, please list the cruise lines you have previously sailed on.
What is the date(s) or month(s) you would like to cruise? Or if you have a specific date, please provide that here.
Which cruise line(s) are you interested in sailing on?
What type(s) of stateroom(s) are you interested in getting a quote for? (Suite,Balcony, Oceanview, Inside)
Do any of the passengers in your party have special dietary needs or need a handicap accessible stateroom?
Please discuss these needs with your Travel Advisor so that the necessary arrangements can be made to accommodate your needs.
Does anyone in your party have any of the following special needs or requests?

CPAPSharps ContainerCertified Service AnimalSplit BedsAllergiesBPAPHearing DisabledOxygenPregnancyWheelchairMotorized ScooterBlind/Low VisionAccessible Room RequiredDiabeticOther
Are you interested in purchasing wifi for your cruise? Does not apply to Virgin as wifi is included in the cruise fare.

YesNoIf so web surfing only?If so web surfing and streaming?
Will you be celebrating a particular event on this cruise? If so, what event and date.
Is a drink package important to you? There are complimentary beverages on all cruise lines. They usually include tea, coffee, juices (Not fresh pressed), lemonade, water (Not bottled).

YesNoIf so, alcoholic?If so, non-alcoholic (this would include sodas, some coffee drinks, possibly smoothies)
Would you like to prepay your gratuities? If not, they will be added to your cruise account that you will settle at the end of your cruise on board. There is an advantage of prepaid gratuities. If the cruise line increases gratuities you are not required to pay the increase. Virgin Voyages includes the gratuities in their price.

YesNo
Would you like to get a quote for Travel Protection insurance? Travel Protection is highly recommended. Not only does it protect your investment but it also provides medical and dental protection while traveling. Some credit cards provide this Protection if you use that card to pay for your travel. Please check with your card provider.

YesNo
If you are opting OUT of Travel Protection Insurance, please sign here.

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