Cynthia Whitcomb 
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REGISTRATION FORM - ONE FORM PER CABIN-
Agent: Walter Schaffrick
Group Booking: # 16613605
SHIP: CELEBRITY SUMMIT
SAILING DATE: MARCH 29, 2008
NOTE:
- You Must Find Your Own Room Mate
- Invoice And Confirmation Will Be Mailed To The "Lead Passenger" In The Cabin.
- Please Use Clear Print
- Legal Names Are Required
- Travel/Cancellation Insurance (Include With Deposit) $99.00 Per Person
| Name: | (circle) M or F | Date of Birth |
| Address | City | ST/Zip |
| Home Phone | Citizen of* | |
2nd Passenger:
| Name: | (circle) M or F | Date of Birth |
| Address | City | ST/Zip |
| Home Phone | Citizen of* | |
Do you wish to Purchase Travel Insurance / Cancellation Protection? YES_____ NO_____
DEPOSIT AMOUNT ENCLOSED: $900.00 (Make checks payable to HOTWIRE)
CREDIT CARD # _____________________________
NAME ON CARD _________________EXP. DATE__________
I authorize CELEBRITY CRUISES to use this credit card for payment toward the sailing referenced above:
___________________________________________
SIGNATURE OF CARDHOLDER
MAIL FORM TO:
-
WALTER SCHAFFRICK
HOTWIRE
1011 E COLONIAL DRIVE, SUITE 300
ORLANDO, FL 32803
* PASSPORTS ARE CURRENTLY REQUIRED FOR THIS CRUISE