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


Please Indicate choice of cabin type or category: A ___ B ___ C ____ D ____ E ____
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 City: _________________________________(See Brochure for details)

Cruise Protection Options (Check the one that applies. One option must be checked)
____ Please provide pricing for Viking River Cruises Cancel for any Reason Insurance.
____ 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 $500 per Person
____ I have enclosed a check for my deposit.
____ 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