Please print out form and fax to 770

Please fill out form completely and fax to 1-888-965-0165
Method of Payment:	Check Credit Card Debit Card Other
Name of cardholder:
Type of Card:
Credit Card #:
Security/CID code:	What is this?
Expiration Date:
Amount to be Charged:
Passenger Name(s) and Birthdate(s):
	(Names must match proof of citizenship)
Dates of Travel:
Resort/Ship Name:
Room Type:
Total Price of Package:
Billing Address:

Email Address:
Daytime Phone:
Evening Phone:
Fax:
By signing below, I acknowledge that I have read and accepted the terms and conditions. I understand all deposit and cancellation penalties and entry requirements. I have been offered and accepted or declined optional travel insurance.

I accept decline Optional travel Insurance to be charged with deposit. Initial here if declining

Initial here to automatically charge any other payments to same card prior to departure.