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Dance cruise registration form

Please click “Submit” below to submit your registration form by e-mail or click “Download” to save, print and mail or fax a copy. You can also call us – 514-497-1960 or 514-344-8888 – to reserve and book your spot.

    PERSONAL INFORMATION

    (As it appears on your passport where applicable)

    First Name (required)
    Middle Name or initial
    Last Name (required)
    Mailing Address Street Number and Name (required)
    Apt. #
    City (required)
    State or Province (required)
    Country (required)
    Zip or Postal Code (required)
    Home Telephone (required)
    Cell or Work Telephone
    Email Address
    Name (as you would like it to appear on your badge)
    Date of Birth
    Citizenship

    MaleFemale
    Passport #
    Date Issued
    Expiry Date
    Place Issued
    Past cruiser with this cruise line?
    YesNo
    Past Cruiser Number (With this cruise line)
    Emergency Contact Name for Cruise Ship (Not sailing with you)
    Relationship
    Emergency Contact telephone
    Alternate Telephone Number
    Emergency Contact Mailing Address Street Number and Name
    Emergency Contact Apt. #
    Emergency Contact City
    Emergency Contact State or Province
    Emergency Contact Country
    Emergency Contact Zip or Postal Code

    PAYMENT INFORMATION

    Type of Credit Card
    VISAMasterCardAmerican ExpressOther
    Name as it appears on Credit Card
    Last 4 numbers on the Credit Card
    Expiration date
    3 digit CVC Code on back or
    4 digit on the front for AMEX
    Billing Address (If different than your mailing address)
    Zip or Postal code

    PREFERRED CABIN

    Type
    Inside CabinOcean ViewPrivate BalconyPrivate Suite
    Occupancy
    Single OccupancyDouble OccupancyTriple Occupancy

    REFERRAL INFORMATION

    How did you hear about this cruise?
    If you were referred through the Internet, please list the site:
    If you were referred by someone, who referred you?
    Today’s Date (required)
     
    Download

    Booking through GAM-SPS Travel Inc, IATA CERTIFIED and A proud member of Ensemble



    Your journey begins with us!