Grab Your Bags Travel- Cruise Passenger Information

Ship and sailing you are inquiring about

Date

Cabin Category you would like to hold

This will be the Lead Passenger for this Cabin

Full Name as it appears on your Government issued Photo ID (passport or original birth certificate & driver's license, etc)*

First NameMiddle NameLast Name

Date of Birth*

MonthDayYear

Gender*

MaleFemale

Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Passenger #1 Phone Number*

Email Address*

Is Passenger #1 a US Citizen?*

YesNo

What Country is the Citizenshp of Passenger #1*

Does Passenger #1 have a valid passport?

YesNo

Cruise Line Membership Number

Dining Time Preference*

Early Dining (5:30 or 6:00 pm - assigned table)Late Dining (8:00 pm) - assigned table)Anytime Dining (dine anytime during dining room hours)

(Pax 2) Full Name as it appears on your government issued photo ID.*

First NameMiddle NameLast Name

(Pax 2) Date of Birth*

MonthDayYear

(Pax 2) Gender*

MaleFemale

Is passenger 2 a member of the same household as passenger 1?

YesNo

Passenger #2 Phone Number (option)

Passenger #2 Email Address (optional)

Passenger #2 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Is Passenger #2 a US Citizen?*

YesNo

What Country is the Citizenship of Passenger #2

Does Passenger #2 have a valid passport?

YesNo

Cruise Line Membership Number

(Pax 3) Full Name as it appears on your government ID.

First NameMiddle NameLast Name

(Pax 3) Date of Birth

MonthDayYear

(Pax 3) Gender

MaleFemale

Is passenger 3 a member of the same household as passenger 1?

YesNo

Passenger #3 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Passenger #3 Phone Number

Passenger #3 Email Address

Is Passenger #3 a US Citizen?*

YesNo

What Country is the Citizenship of Passenger #3

(Pax 4) Full Name as it appears on your government ID.

First NameMiddle NameLast Name

(Pax 4) Date of Birth

MonthDayYear

(Pax 4) Gender

MaleFemale

Is passenger 4 a member of the same household as passenger 1?

YesNo

Passenger #4 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Passenger #4 Phone Number

Passenger #4 Email Address (optional)

Is Passenger #4 a US Citizen?*

YesNo

What Country is the Citizenship of Passenger #4

Please list if you have any dietary needs or mobility issues that you need the cruise line to be aware of.

Please check any cruise lines that a passenger has sailed before:

Travel Insurance:I have been advised of the option to purchase travel insurance.*

I agree and understand that my investment is at risk if insurance is not purchased.

Passenger 1 Insurance Coverage*

AcceptDecline

Passenger 2 Insurance Coverage

AcceptDecline

Passenger 3 Insurance Coverage

AcceptDecline

Passenger 4 Insurance Coverage

AcceptDecline

Passport/Visa:I have been advised of passport/visa requirements related to my trip*

I agree.

Change/Cancellation: I have been advised of potential change/cancellation charges that may be implemented by the supplier in the event that I choose to cancel or change my booking after making the initial deposit.*

I agree.

Disclosure and Consent:

Grab Your Bags Travel issues these travel documents in the sole capacity as agent for the airline, tour company, cruise line or other supplier as indicated in the travel document, brochure, correspondence or other communication. As the agent of the supplier, Grab Your Bags Travel does not assume the responsibility for the cancellation or substitution or service by the supplier, financial default of the supplier, refunds or unused services to be provided by the supplier, or any obligation, service or monies not the specific responsibility of Grab Your Bags Travel.

Grab Your Bags Travel is not responsible for your actual vacation. Grab Your Bags Travel assumes no responsibility for any bankruptcy by the suppliers. As an agent, Grab Your Bags Travel maintains no control of the operation, equipment, or personnel for all carriers, cruise lines, airlines, tour companies, hotels, bus lines, insurance carriers, et. al, and therefore can assume no responsibility for personal injury, property damage, or other loss, accident, delay or inconvenience, or irregularity which may be occasioned.

We make every effort to honor the package price quoted originally, however; under certain circumstances your price may be subject to increase prior to full payment due to an increase in the cost for one or more of the travel components of your package.

Prices will not increase after you make full payment, except for charges resulting from increases in government-imposed taxes or fees.

By signing below, you expressly acknowledge your acceptance of these conditions applicable to your purchase and by signing your name and initials you have read and agreed to this being your signature by electronic transfer to Grab Your Bags Travel.

http://airconsumer.dot.gov/rules/EAPP_2_FAQ_01-11-2012final.pdf

Signature*

Please verify that you are human*

Passenger Information

Passenger #1 Information

Passenger #2 Information

Passenger #3 Information (if applicable)

Passenger #4 Information (if applicable)