CONTACT INFORMATION
Please take your time and be accurate. Your admission information and tickets will be sent to the address you provide below.
First Name:
*
Last Name:
*
E-mail:
*
Mailing Address
*
City/Town
*
State - if you live outside the USA put in NA
*
Zip Code - if you live outside the USA put in 00000
*
If you live outside the USA place your full name and address in box to the right
Country
*
Phone Number please sure to include Country Code if outside USA or Canada
GUEST INFORMATION
This form allows you to book party space for up to 6 people. If you have more than 6, then submit a separate order.
First Name of Guest 1
*
Last Name of Guest 1
*
Nickname or preferred name Guest 1
----------------------------------------------------------
Second Guest - First Name
Second Guest - Last Name
Second Guest - Nickname or preferred name
----------------------------------------------------------
Third Guest - First Name
Third Guest - Second Name
Third Guest - Nickname or preferred name
----------------------------------------------------------
Fourth Guest - First Name
Fourth Guest - Last Name
Fourth Guest - Nickname or preferred name
----------------------------------------------------------
Fifth Guest - First Name
Fifth Guest - Last Name
Fifth Guest - Nickname or preferred name
----------------------------------------------------------
Sixth Guest - First Name
Sixth Guest - Second Name
Sixth Guest - Nickname or preferred name
----------------------------------------------------------
Hotel to Hotel Transfers
If you need transfers to and from other Fort Lauderdale area hotels to the party in Embassy Suites, we will be using a separate form (which will be made available shortly.) This form is for the party only. It DOES NOT INCLUDE TRANSFERS.
PAYMENT - $35 PER PERSON
Please check the box that you understand no refunds will be given after November 1, 2009
*
I understand
Please hit the Submit button when you have completed the form. You will be redirected to Google Checkout. Party payments are refundable until November 1, 2009. After November 1, 2009 no refunds will be issued.
Pre-Cruise Party - December 11, 2009 - Embassy Suites Fort Lauderdale
prev
next
( X )
Admit One
$35.00
$
35.00
Admit Two
$70.00
$
70.00
Admit Three
$105.00
$
105.00
Admit Four
$140.00
$
140.00
Admit Five
$175.00
$
175.00
Admit Six
$210.00
$
210.00
Total
$0.00
$
0.00
Submit
Should be Empty: