KA Butterfly Travels
"Set Sail for Adventure and Luxury on the Open Seas!"
Please register your legal name as it will appear on your passport/ID.
Primary name
First Name
Last Name
Date of Birth
E-mail
Phone Number
-
Area Code
Phone Number
Address
Guest #2 Full Name
Date of Birth
Guest #3 Full Name
Date of Birth
How many people in your group
Ages of children
Are all guests U.S. citizens, and do they have valid passports?
Please Select
Citizens
Yes
No
Passports
Yes
No
Travel Information
Cruise or Air / Hotel
Please Select
Cruise
Air /Hotel
Inside Cabin Type A
Please Select
Single
Double
Triple
Quad
Cabin Type B
Please Select
Inside
Oceanview
Balcony
Suite
Hotel Bedding
Please Select
2 Double Beds
Queen
King
Are you planning a hotel stay before or after your cruise?
Please Select
yes Hotel
No Hotel
Yes to both
Please use this space to list any health concerns, allergies, motion sensitivity, wheelchair use, or other special accommodations needed.
Emergency contact name and number not in your cruise group
Cruise dining choice
Please Select
6pm
8pm
Mytime
Total trip cost
Do you want travel insurnace?
Please Select
yes
No
Travel tip: I always recommend travel insurance for peace of mind. If an unexpected event forces you to cancel, insurance may help refund your trip (minus any required cruise-line fees).By registering, you confirm your details are accurate and understand that deposits are non-refundable. Cancellation penalties may apply based on timing. If a roommate cancels, rates adjust accordingly. Final payments must be made by the deadline—unpaid balances will result in automatic cancellation. A credit card authorization form will be provided for you to complete so I may submit payment to the cruise line on your behalf. At that time, your signature(s) will be required. Please initial and date where indicated to confirm your authorization.
Do you agree to the terms and conditions
Please Select
Yes
No
Submit
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