PASSENGER INFORMATION
(Use a form for each passenger paying separately. Please indicate "ROOMMATE" next to passengers submitting own form).
M/F First Last DOB Citizenship
1. _________ ______________________ _____________________________ __________ _______________________
2. _________ ______________________ _____________________________ __________ _______________________
3. _________ ______________________ _____________________________ __________ _______________________
4. _________ ______________________ _____________________________ __________ _______________________
PREFERENCES
Cabin Category:__________________________________ No. of Passengers in cabin:__________________________
Cruise Line Airfare (includes roundtrip transfers): [ ] No [ ] Yes (If yes)Air Departure City _______________________
Cruise Only Transfers: $___________________ [ ] No [ ] Yes If yes, please provide air schedule to GTI
Special needs:__________________________________ Special Occasion: _________________________________
Dining Preference: [ ] Early [ ] Late Past Passenger No: _______________________________
INSURANCE DISCLOSURE: Travel Protection Insurance protects your valuable vacation investment in the event of sudden illness or death affecting
you, your travel companions and/or immediate family members. You hereby acknowledge that you have been offered the Travel Protection
Insurance and that if electing not to purchase the insurance that your vacation may be nonrefundable, in full or part, if you decide to cancel. Cost of
insurance is NONREFUNDABLE once purchased. NOTE FOR PRE-EXISTING CONDITION(S): This clause is applicable to Trip Cancellations,
Interruption, Emergency Medical & Dental and Emergency Medical Transportation. Policy may exclude coverage for those conditions that manifested
themselves, became acute, or for which you are being treated or for which you received medical advice or treatment in the 60 days before the
purchase of benefit.
PAYMENT INFORMATION
First deposit 08/09/07 $25.00 per person double occupancy
$250.00 per person triple/quad/suites/assignments
Second deposit 06/11/08 $225.00 per person double occupancy
Final payment 08/22/08 Final Payment
(Penalty for change or cancellation begins: 9/8/2008)
CREDIT CARD AUTHORIZATION: I hereby authorize Global Travel International to charge my card, or submit directly to travel
vendor for processing, in the amount below. I agree that I will pay the charge as agreed with my credit card company.
Amount to be charged now:_________________________ Please provide delivery address if different from Billing
Credit Card #:____________________________________ Address. Documents are sent to a street address (no
Expiration Date: __________________________________ P.O. Box delivery)
Cardholder's Name:________________________________Name:_________________________________________
Cardholder's Signature:_____________________________Delivery Address:________________________________
Billing Address:___________________________________ ______________________________________________
________________________________________________ Fax, Email or Mail completed form to:
Home Phone:_____________________________________ Global Travel International, 2600 Lake Lucien Dr, Suite 201,
Work Phone: _____________________________________ Maitland, FL 32751, Attn: Tammy Roan
Cell Phone: ______________________________________ Phone: 800-715-4440 ext 7410
Email: ___________________________________________ Fax: 866-251-0977 Email: Troan@globaltravel.com
Please note: Global Travel International does not accept checks or mon ey orders. Wire transfer information is
provided upon request.
Please note: Global Travel International does not accept checks or mon ey orders. Wire transfer information is
provided upon request.