Beautiful Bordeaux Scenic Luxury Cruise- Sept 25-Oct 5, 2025

Registration Form: One Form per Cabin

Sail Date/Itinerary: September 25-October 05, 2025 Beautiful Bordeaux on Scenic Luxury River Cruise and Tours
Passenger One: Name (as it appears on passport)*

First NameMiddle NameLast Name
Email*
example@example.com
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Yes, Subscribe Me! (watch your email to confirm subscription)No, Thanks!
Phone Number*
Birth Date*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Second Person in Cabin
Passenger Two: Name (as it appears on passport)*

First NameMiddle NameLast Name
Email*
I'd Like Kerri's periodic E-mail newsletter

Yes, Subscribe Me! (watch your email to confirm subscription)No, Thanks!
Phone Number*
Birthdate*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Select Your Cabin Category:*
Bed Configuration Preference*
Insurance Needs/Vacation Protection: *
Once I have recieved your completed form, I will send you a secure credit card form for the $500.00 non-refundable deposit, per person, due immediatley to secure your suite. The final payment is due 10 months before sailing (Nov 28th) for the Pay-In-Full discount. You may opt to make payments in between.

*Scenic only takes Visa and Mastercard, or check, for payment.

Please call/text/email with any questions you have for this amazing journey! I can also meet in person (I'm in Bothell) or via Zoom.

Kerri Kirshner

Extra Mile Travels

206-476-7467

Kerri@ExtraMileTravels.com
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Registration Form: One Form per Cabin

Second Person in Cabin