Legal First Name:

Nickname:

Legal Last Name:

Title:

Address:

City State:Zip Code

Phone:   Cell:

E-mail:   Fax:

Passport #:   Country of Residence:

Emergency Contact:
Name:

Relation:Phone:

Date Of BirthCitizenship:

Vacation Protection Plan (Travel Insurance)

Check one

Y N
Vacation Protection From Carnival Cruise

Prepaid Gratis ($40.00)

Y  N

On Riviera Deck – Please choose:

Double: $355.00 Per Person

Triple/Quad: Rates for Guest sharing with two full fare guests - $225.00 Per Person

Single: $654.00 Per Person

Special Instructions or Comments:

Prices include:

• Cruise fare, port charges, cruise fee, and fuel charge.
• Optional additional charges: Vacation protection insurance, Transportation to and from Tampa, and Shore excursions.

Credit Card Payment

Visa    Mastercard  American Express

Card   Expiration Date

Please press submit and your registration will be processed.

If you prefer to fax your Registration form, please use fax # (760) 729-7797

©2008 ALI LASSEN