Saturday, November 23, 2024 www.aquaboogiecruises.com   
 



Section 1: Cruise Information
  Cruise Name: Halloween Costume Cruise 2019 - No Passport Required Departure Date: 10/26/19 Return Date: 11/2/19  
  Cruise Itinerary: Miami - St. Maarten - St. Thomas - Nassau - San Juan


Cruise Group Organization (Selection Required):

Group Organization or Leader (if applicable):

Section 2: Primary Guest Information
   
First Name:
 Last Name:
Address, Line 1:
Address, Line 2:
City:
 State:
 Zip:
Phone:
 Email 1:
 		Email 2:
Select All That Apply:          
Aqua Boogie Past Guest:
 		Veteran/Military:
Senior Citizen:
 55+ 		Interline Employee:
 		Cruise Line Past Guest:
Cabin Option:

 Discount/Travel Agent Code:

 		Date of Birth:
mm/dd/yyyy
 T-Shirt Size:
S-5XL
Gender:
Female
Male
Section 3: Roommate Registration:  

Roommate 2:
Date of Birth:
mm/dd/yyyy
 T-Shirt Size:
Sm-5XL
Gender:
Female
Male
Roommate 4:
Date of Birth:
mm/dd/yyyy
 T-Shirt Size:
Sm-5XL
Gender:
Female
Male
Roommate 3:
Date of Birth:
mm/dd/yyyy
 T-Shirt Size:
Sm-5XL
Gender:
Female
Male
Roommate 5:
Date of Birth:
mm/dd/yyyy
 T-Shirt Size:
Sm-5XL
Gender:
Female
Male
Section 4: Cruise Add-on Options: Selections will be added after reservation has been processed.

Air City:
 Pre-Cruise Hotel:
Post-Cruise Hotel:
 		Pre-Paid Gratuity:
 		Insurance:
 		Transfers to:
 Ship 		Transfers from:
 Ship
Entertainment Package-Inside Agency Booking:
 (If Applicable)
Entertainment Package Only-Outside Agency Booking:
 (If Applicable)
Section 5: Credit Card/Checking Account Billing Information
Initial Deposit Payment Amount $:
Credit Card Electronic Check
Name on Account:
Billing Address:
City:
 State:
 Zip:
Billing Phone
  
Billing Email
  
Credit Card Account:
    
Card Number:
Exp:
 CVV2#:
Checking Account:
Bank Name:
  
Routing #:
 Account #:
 Check Number:

I hereby authorize the following charge or debit in the amount noted above and agree to all terms and
conditions set on the site and all promotional items in regards to travel for this package.