Please book me/us on the Melissa Ferrick Concert Cruise, departing January 13, 2005.

Number of people Today's Date

Name(s) Names shown here must agree with the name that is on the official photo ID you will be using (passport, driver's license, etc.)--please include Mr. or Ms.
Name(s) as you want them on your ID badge:

E-mail address
Street Address
City State Zip
Country
Home Phone Work Phone
Fax Number    Cell Phone

Choose one of the following cabin categories:
     Category 4A (inside)  Cat. 6A (oceanview)    Other

Please phone (800-754-3170) or fax (772-382-2707) us with your credit card information or print this out and mail it with your check.

My check for the deposit of $ is enclosed.

Transfer Arrangements:
I do not need transfers between the airport and the ship
I do need transfers between the airport and the ship at approximately $25 (Miami) or $35 (Fort Lauderdale) per person roundtrip between airport and the ship (transfer prices are subject to change).  I will inform you of the flights I have arranged and the times of arrival and departure on dates of ship's departures and return.  I understand I must arrive prior to 1:00pm on ship's departure date and leave no earlier than 1:00pm on date of ship's return.

T-shirt size(s) (one per person)--please enter size for each person listed above (in the order in which they are listed above):
Sizes are S, M, L, XL, or XXL
Passenger 1   Passenger 2   Passenger 3    
Passenger 4     Passenger 5

Birthdates (please give the birthdate--including the year-- for each passenger in the order they are listed above)


I will be sharing a cabin with who is making his or her own reservation separately.

I accept  decline  insurance at this time (If insurance is accepted and you are paying by credit card, it will be charged to the credit card shown above; if paying by check, please include a check for the insurance amount in addition to the deposit (click here for benefits). If insurance is purchased at time of deposit, pre-existing will be covered; if purchased later, pre-existing conditions will not be covered.)

Where did you learn about this cruise?

Please enter any special comments or questions in the space provided below:

After you click on the submit button below, you will see a summary of what you have submitted.  This is NOT a confirmation from us since this is just repeating what you are sending.  It is not proof that it was received by us.  We will mail you a confirmation within approximately two weeks.  There are rare occurrences where submissions that you see might not arrive over the Internet due to electronic "glitches" beyond our control.  If you do not hear from us with 2-3 weeks, please phone or email us to make sure we did receive your registration.