How did you hear about the Ultimate Michael Cruise?
Last Name
Legal First Name Title
Legal First Name TitleFirst Name as you would like it to read on your name badge or ID
Birth date (mm/dd/yyyy) Shirt Size
Shirt Size Street Mailing AddressUnit
Unit(We cannot send documents to a PO Box)
City State Zip
State ZipArea Code Daytime Phone E-mail Address
Daytime Phone E-mail AddressCitizenship Medical situations, which we should be aware of?
Medical situations, which we should be aware of? If Yes, describe
If you are the only guest booking on this form, please select one of the following four options:
who will be booking this cruise separately, thatperson's name is. If this selection is made you will be charged at single occupancy rates.with another single. (We will do our best to match you up with a roommate of the same sex and approximate age, however we cannot guarantee that this arrangement can be made. If we can find you a
roommate, you will be charged at the double occupancy rates. If we are unable to find aroommate you agree that you are willing to pay the single occupancy rate for this cruise. (We will do our best to match you up with 2-3 other roommates of the same sex and approximate age, however we cannot guarantee that this arrangement can be made. If we can find 2-3 roommates, you will be charged at the Category S occupancy rates. If we are unable to find a minimum of 2 roommates, but we find 1 roommate, you agree that you are willing to pay the double occupancy rate for this cruise.Guest #2
Last Name Legal First Name Title
Legal First Name TitleFirst Name as you would like it to read on your name badge or ID
Birth date (mm/dd/yyyy) Shirt Size
Shirt Size Street Mailing AddressUnit
Unit(We cannot send documents to a PO Box)
City State Zip
State ZipArea Code Daytime Phone E-mail Address
Daytime Phone E-mail AddressCitizenship Medical situations, which we should be aware of?
Medical situations, which we should be aware of? If Yes, describe
ONLINE BOOKING FOR LABOR DAY WEEKEND 2014
Please use one online booking form per cabin. If you wish to book more than one cabin complete this form and submit it, then return to the homepage select online booking again and complete the form for as many cabins as required. FOR LAY-A-WAY OPTIONS CLICK HERE
This cruise application takes 5 minutes to complete. Please fill out completely BEFORE submitting. A receipt verifying all details will be emailed to you. Cancellations / Conditions & Terms Click here
Guest #3
Last Name Legal First Name Title
Legal First Name TitleFirst Name as you would like it to read on your name badge or ID
Birth date (mm/dd/yyyy) Shirt Size
Shirt Size Street Mailing AddressUnit
Unit(We cannot send documents to a PO Box)
City State Zip
State ZipArea Code Daytime Phone E-mail Address
Daytime Phone E-mail AddressCitizenship Medical situations, which we should be aware of?
Medical situations, which we should be aware of? If Yes, describe
Guest #4
Last Name Legal First Name Title
Legal First Name TitleFirst Name as you would like it to read on your name badge or ID
Birth date (mm/dd/yyyy) Shirt Size
Shirt Size Street Mailing AddressUnit
Unit(We cannot send documents to a PO Box)
City State Zip
State ZipArea Code Daytime Phone E-mail Address
Daytime Phone E-mail AddressCitizenship Medical situations, which we should be aware of?
Medical situations, which we should be aware of? If Yes, describe
Cruise Accommodations
First Choice of Cabin Category
(See Accommodations for Category Descriptions)
Second Choice of Cabin Category
(See Accommodations for Category Descriptions)
Please have beds made up as:
For third and fourth guests sharing this cabin, rates will be charged as described in the Accommodations section of the web site.
Airfare & Transfer Options
(Please select one of these three options.)
(See Air Packages page for available air gateways and costs.)at a cost of $32.00 per person round trip ($45.00 pp from Ft. Lauderdale). If this option is selected we will need to know 30 days prior to departure your arrival
& departure info, carrier, flight #, and time of arrival.
You should arrive at the ship no later than 2:30pm - the ship sails at 5:00pm and schedule your return after (12:00 noon on return date.)Pre & Post-Cruise Packages
Dining Options
(Note this is a freestyle dinning cruise)
The large majority of the group will dine on the late dinner seating. The selection of the early dinner seating may cause a conflict with numerous social functions.
Please select the time you would like for dinner.
Guests booking on the same form, and families booking together, will automatically be seated together throughout the duration of the cruise. If there are any additional friends or family you wish to dine with during the cruise, please indicate names below.
Any special meals you would like to request?
GuestSpecial RequestChoices not needed / Please leave blank
Port Fees & Taxes are included in the Cruise price.
Documentation
Your cruise documents will be shipped to you approx. 14 days before the cruise departs.
If you will not be in a location to receive your cruise documents, please contact your Agent to make any special arrangements.
Name if other than your own
Street Mailing Address
CityStateZip
StateZipArea CodePhone Number
Phone NumberDate(s) you will be at this location
Special Requests and Notes
Please indicate below if you have any special requests or notes regarding the cruise.
Cruise Payment
- For bookings received prior to February 15, 2014, your credit card will be charged
$150.00 per person.- For bookings received February 16, 2014 or later, your credit card will be charged
$250.00 per person.- For passengers booking suites, your credit card will be charged $300 per person.
- The balance due will be charged on this same card May 14, 2014 unless we are directed
otherwise. (If you should choose a layaway plan)- For bookings received after May 14, 2014, your credit card will be charged the full
amount of the cruise package including any price increases.Which will be made in 30-day increments until paid in full or by May 14 whichever comes first.
Example: Deposits made in September 2013, pay just $50.00 per month until paid in full by May 14, 2011.
Charge toCard Number3 Digit Code
Card Number3 Digit Code Expiration DateName as written on card
Name as written on card Electronic Signature:
Upon receipt of this booking information, a complete receipt and cancellation / medical
insurance quote will be mailed to you.
Terms and Conditions
Cancellation Penalty Schedule:(The following penalties shall be applied for cancellations received within the dates indicated All cancellations must be received in writing by the dates indicated.)
(The following penalties shall be applied for cancellations received within the dates indicated All cancellations must be received in writing by the dates indicated.)Prior to February 14, 2014$150 per person
$150 per personFebruary 15 – May 14, 2014$250 per person
$250 per personAfter May 14, 2014 100% of cruise package
100% of cruise packageRates include all meals, entertainment, and all Celebrity Play Cruise private events. Failure to appear for embarkation for any reason constitutes a cancellation subject to full penalties. Personal items not included.
Any changes, additions, cancellations or modifications to a booking will only be accepted if received in writing.
Everyone cruising will be required to bring a valid passport plus photo ID. Failure to do so may result in denied boarding of the ship. Children do not require photo ID. Call Herlan at Luxury Travel by Ruiz for details on getting a passport.
Conditions for Passage:
Guest #1
Electronic Signature:
Lay-A-Way Plan
