CRUISE BOOKING INFORMATION
NW LERC Fundraising Cruise

Please use one form per cabin. If you are making reservations for more than one cabin please feel free to make photocopies of this form.

What is the Legal name of each passenger that will be sharing this cabin: (as it appears on your passport or other form of identification)

1) ___________________________________  ______  _______  ______________________  __________
      Name                                                                                        birthdate       Nationality      Passport No.                                             Expiration date
2) ___________________________________  ______  _______  ______________________  __________
      Name                                                                                        birthdate       Nationality      Passport No.                                             Expiration date
3) ___________________________________  ______  _______  ______________________  __________
      Name                                                                                        birthdate       Nationality      Passport No.                                             Expiration date
4) ___________________________________  ______  _______  ______________________  __________
      Name                                                                                        birthdate       Nationality      Passport No.                                             Expiration date
It is highly recommended that anyone traveling outside of the U.S. have a valid passport.
Please select one: ___ 12-day Cruise Tour ____ 7-night Cruise Only
Please Indicate choice of cabin type or category: Inside ___ Outside ___ Veranda ____ Suite ____
Other Category Special Request ________________________________________________
Do you need air transportation. ______ If yes, from what city_____________________________
Do you have any special dietary requirements: __________________________________________
Do you have any other special requirements: __________________________________________
Are you celebrating any special occasions(i.e. birthday, anniversary, ect.) ____________________
Are you interested in an additional pre or post cruise package: ______________
If yes, how many days: _____ pre _____ post.
At which hotel: _________________________________(See Brochure for details)

Cruise Protection Options (Check the one that applies. One option must be checked)
____ Please provide pricing for Princess Travel CareSM Options.
____ Please send me information on independent Travel Insurance.
____ I understand the risk and elect not to purchase either of the travel protection plans at this time.

All of the information I have given is correct and reflects my(our) preferences and elections.
_____________________________________ _______________
Signature of lead passenger                                                   Date
Address: ____________________________________________________________ Phone: _________________
Email Address: ________________________________________________________________

Deposit Payment Options:

Initial deposit is or 30% of the cruise tour price 20% of the cruise only price.
____ I wish to pay my deposit by check. Please contact me with the exact amount of deposit required.
____ Please Charge my deposit to the following credit card:

Card Type ________ Account Number ___________________________ Exp Date ____________
                  (visa, MC, Discover, AmEx etc.)
Name on Card _________________________ Signature __________________________________

Mail completed form to: Vacations Unlimited, PO Box 3972, Lacey, WA 98509