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Polka Dots Group Cruise
Carnival Fantasy sailing October 12 - 16, 2017
 
Guest 1 Traveler Information
Please list your FULL LEGAL NAME as it is listed on your Proof of Citizenship Document. For example, if you are using a Passport as Proof of Citizenship, please list your name EXACTLY as it is listed on that document. If using a Birth Certificate/Driver License Combination, your name should match the name listed on your Birth Certificate, unless your name has been legally changed due to marriage or some other circumstance. It is imperative to list your FULL LEGAL NAME.
*Title
*Legal Name:
*Address Line 1:
Apt or Suite:
*City, State, Zip
*Phone:
Alt Phone:
*E-Mail:Valid e-mail is required
Receipt of payment will be emailed.
*Date of Birth:
*Emergency Contact & Number:
Past Guest Number:
*How many guests are in your cabin?
*Your cabin preference:
Do you need your cabin near another guest?
Names of other occupants in room if known:
Celebrating a special occasion?
Any Medical or Dietary Needs?
I understand that by clicking `no`, I have been offered and declined trip insurance protection.
*Interested in purchasing trip insurance?
Guest 1 Deposit/Payment Information:
*Has your group leader explained the terms of deposit, cancellation, and changes?
If paying by check, please make payable to Springdale Travel, and mail this form with check attached to:
Springdale Travel, 958 Montlimar Drive, Mobile, Alabama 36609.
If paying by credit/debit card, please fill out the form data below. You may feel free to phone in your credit card information to Mendy Johnson at 251-414-4626.
Card Brand:
Card Number:
Expiration Month:
Expiration Year:
CVV:
Full Billing Address:
Guest 2 Traveler Information
Please list your FULL LEGAL NAME as it is listed on your Proof of Citizenship Document. For example, if you are using a Passport as Proof of Citizenship, please list your name EXACTLY as it is listed on that document. If using a Birth Certificate/Driver License Combination, your name should match the name listed on your Birth Certificate, unless your name has been legally changed due to marriage or some other circumstance. It is imperative to list your FULL LEGAL NAME.
Title
Legal Name:
Address Line 1:
Apt or Suite:
City, State, Zip
Phone:
Alt Phone:
Email:
Receipt of payment will be emailed.
Date of Birth:
Emergency Contact & Number:
Past Guest Number:
Celebrating a special occasion?
Any Medical or Dietary Needs?
I understand that by clicking `no`, I have been offered and declined trip insurance protection.
Interested in purchasing trip insurance?
Guest 2 Deposit/Payment Information:
Has your group leader explained the terms of deposit, cancellation, and changes?
If paying by check, please make payable to Springdale Travel, and mail this form with check attached to:
Springdale Travel, 958 Montlimar Drive, Mobile, Alabama 36609.
If paying by credit/debit card, please fill out the form data below. You may feel free to phone in your credit card information to Mendy Johnson at 251-414-4626.
Card Brand:
Card Number:
Expiration Month:
Expiration Year:
CVV:
Full Billing Address:
Guest 3 Traveler Information
Please list your FULL LEGAL NAME as it is listed on your Proof of Citizenship Document. For example, if you are using a Passport as Proof of Citizenship, please list your name EXACTLY as it is listed on that document. If using a Birth Certificate/Driver License Combination, your name should match the name listed on your Birth Certificate, unless your name has been legally changed due to marriage or some other circumstance. It is imperative to list your FULL LEGAL NAME.
Title
Legal Name:
Address Line 1:
Apt or Suite:
City, State, Zip
Phone:
Alt Phone:
Email:
Receipt of payment will be emailed.
Date of Birth:
Guest 3 Deposit/Payment Information:
Has your group leader explained the terms of deposit, cancellation, and changes?
If paying by check, please make payable to Springdale Travel, and mail this form with check attached to:
Springdale Travel, 958 Montlimar Drive, Mobile, Alabama 36609.
If paying by credit/debit card, please fill out the form data below. You may feel free to phone in your credit card information to Mendy Johnson at 251-414-4626.
Card Brand:
Card Number:
Expiration Month:
Expiration Year:
CVV:
Full Billing Address:
Guest 4 Traveler Information
Please list your FULL LEGAL NAME as it is listed on your Proof of Citizenship Document. For example, if you are using a Passport as Proof of Citizenship, please list your name EXACTLY as it is listed on that document. If using a Birth Certificate/Driver License Combination, your name should match the name listed on your Birth Certificate, unless your name has been legally changed due to marriage or some other circumstance. It is imperative to list your FULL LEGAL NAME.
Title
Legal Name:
Address Line 1:
Apt or Suite:
City, State, Zip
Phone:
Alt Phone:
Email:
Receipt of payment will be emailed.
Date of Birth:
Guest 4 Deposit/Payment Information:
Has your group leader explained the terms of deposit, cancellation, and changes?
If paying by check, please make payable to Springdale Travel, and mail this form with check attached to:
Springdale Travel, 958 Montlimar Drive, Mobile, Alabama 36609.
If paying by credit/debit card, please fill out the form data below. You may feel free to phone in your credit card information to Mendy Johnson at 251-414-4626.
Card Brand:
Card Number:
Expiration Month:
Expiration Year:
CVV:
Full Billing Address:
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