Adonis Holiday - LLV Cruise Reservation

PASSENGER INFORMATION

FIRST PASSENGER INFORMATION

Gender *

Name *

Middle name

Surname *

Traveling with

Home Address *

House no./Name *

Postal / ZIP Code *

City *

Country *

Citizenship *

Phone *

Mobile

Fax

E-mail *

Date of Birth *

Emergency Contact Name *

Emergency Contact Phone *

Emergency Contact Relationship *

SECOND PASSENGER INFORMATION

Gender

Name

Middle name

Surname

Home Address

House no./Name

Postal / ZIP Code

City

Country

Citizenship

Phone

Mobile

Fax

E-mail

Date of Birth

CRUISE INFORMATION

I wish to sail on the *

CABIN INFORMATION *

I would like a inside double cabin, Category

, at USD

per person, based on double occupancy

I would like a outside double cabin, Category

, at USD

per person, based on double occupancy

I would like a cabin, Category

, at USD

total per person

Please waitlist me for the Category

DINING REQUEST*

I would like to request

Early Dinner Sitting

Late Dinner Sitting

Table size

Small

Large

Please tell us if we should know anything about you including dietary needs, etc.

TRAVEL INSURANCE *

Travel insurance is HIGHLY recommended and can be arranged by Adonis Holiday through our partners. Travel insurance is based on your age and the cost of the trip. By clicking ‘Yes' to the following, we will contact you with information about travel insurance. *

Yes, please contact me with information regarding travel insurance

No, I will not be requiring travel insurance.

PAYMENT INFORMATION *

I am paying by credit card. Deposit will be charged to secure my reservation. The balance will be charged as per the payment schedule. (E-mail will be sent with confirmation.)

PASSENGER CREDIT CARD 1

Credit Card Number: *

Expiration Date: *

CVC Number: *

Card type: *

Withdrawl Amount For This Card:

I am authorizing Adonis Holiday, the cruise line and the cruise operator to automatically charge deposits, service fee's, payments, insurance (if applicable), flight payments (if applicable) and cancellation fees to my credit card in accordance with the payment schedule and cancellation policy.

Card Holders Name: *

Date: *

PASSENGER CREDIT CARD 2

Credit Card Number:

Expiration Date:

CVC Number:

Card type:

Withdrawl Amount For This Card:

Card Holders Name:

Date:

AIRLINE FLIGHT RESERVATIONS*

Arrange my flights *

No, I will arrange my own flights. (If checked, ignore rest of Airline Flight Reservations section)

Yes please send me a quote for airfare: (Leave blank if not applicable)

Economy Class

Business Class

First Class

Departure Date:

Departure Time:

Return Date:

Return Time:

* Please note that Adonis Holiday and the cruise operator assume no responsibility for passengers arranging their own flights. *

OTHER SERVICES AND RESERVATIONS

Please tell us if you need hotel reservations, car rental, transfer, etc.

TERMS AND CONDITIONS - LLV and Adonis Holiday*

I agree to the tour operator (LLV) Terms and Conditions *

I agree to Adonis Holiday Terms & Conditions.

SIGNATURE / AUTHORIZATION*

I verify that I am at least 21 years of age. I have read the above terms and conditions and acknowledge I have been offered travel insurance.

Passenger 1 *

Date *

Passenger 2

Date

EXTRA INFORMATION*

Where did you hear about us? *

Comments Box

NOTE: Your reservation isn't confirmed until we have provided you with a booking number by phone, e-mail, or fax.

* = Input is required