JADAR Travel Booking - TX family Thanksgiving Cruise

GROUP TRAVEL BOOKING

STATE ROOM SELECTION SUMMARY
Category 4B - Triple Occupancy $441.73 per person

Passenger Name * Name must match passport that you will provide before boarding. You will not be allowed to board unless your name matches exactly.		Name must match legal document (passport, etc.) you will provide before boarding. You will not be allowed to board unless your name matches exactly.
Address *		Dinner Seating * Early Late
Address 2		Need Insurance * Yes No
City *		Special Medical Needs * Enter medical needs (ie: wheelchair accessability, service animal, pregnancy, medication, etc.) in the comment field below Yes No
State *		Special Dietary Needs * Enter request for Special Dietary Needs (ie: bland diet, etc.) in the comment field below Yes No
Zip Code *		Pay in Full * Paying in full will charge you the full amount on the first payment date Yes No
Phone *
Emergency Contact *
Date of Birth *
Email Address *

Passenger Name * Name must match passport that you will provide before boarding. You will not be allowed to board unless your name matches exactly.		Name must match legal document (passport, etc.) you will provide before boarding. You will not be allowed to board unless your name matches exactly.
Address *
Address 2		Dinner Seating * Early Late
City *		Need Insurance * Yes No
State *		Special Medical Needs * Enter medical needs (ie: wheelchair accessibility, service animal, pregnancy, medication, etc.) in the comment field below Yes No
Zip Code *		Special Dietary Needs * Enter request for Special Dietary Needs (ie: bland diet, etc.) in the comment field below No Yes
Phone Number *		Pay in Full * Paying in full will charge you the full amount on the first payment date Yes No
Emergency Contact *
Date of Birth *
Email Address *

BILLING INFORMATION - We accept only Credit Card Payment
Card Holder Name (as it appears on the credit card) * Enter name as it appear on your credit card
Card Type *
Credit Card # *
Exp Month *
Exp Year *
CV# * Last 3 digits on signature panel of Discover, MC and Visa. For AMEX, 4 digits to upper right of cc number on face of card
Card Holder Address (as listed on statement) *
Comment If you would like to make a dinner seating request, or have special medical and/or dietary needs, please enter this information in the space below.
Agreement * You must check this box to authorize credit card charges. Bookings without this authorization will not be processed.I authorize JADAR Travel & Cruise and/or Traverus to submit my Credit Card information for payment for the amounts listed and the dates listed for the listed Cruise Passenger

Passenger 3 of 3

Name * Name must match passport that you will provide before boarding. You will not be allowed to board unless your name matches exactly.		Name must match legal document (passport, etc.) you will provide before boarding. You will not be allowed to board unless your name matches exactly.
Address *
Address 2 *		Dinner Seating * Early Late
City *		Need Insurance * Yes No
State *		Special Medical Needs * Enter medical needs (ie: wheelchair accessibility, service animal, pregnancy, medication, etc.) in the comment field below Yes No
Zip Code *		Special Dietary Needs * Enter request for Special Dietary Needs (ie: bland diet, etc.) in the comment field below Yes No
Phone Number *		Pay in Full * Paying in full will charge you the full amount on the first payment date Yes No
Emergency Contact *
Date of Birth *
Email Address *

BILLING INFORMATION - We accept only credit card payments

Card Holder Name (as it appear on credit card) *
Card Type *
Credit Card # *
Exp Month *
Exp Year *
CV # * Last 3 digits on signature panel of Discover, MC and Visa. For AMEX, 4 digits to upper right of cc number on face of card
Card Holder Address (as on statement) *
Comment * If you would like to make a dinner seating request, or have special medical and/or dietary needs, please enter this information in the space below.
Agreement * You must check this box to authorize credit card charges. Bookings without this authorization will not be processed.I authorize JADAR Travel & Cruise and/or Traverus to submit my Credit Card information for payment for the amounts listed and the dates listed for the listed Cruise Passenger

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Verify information and then click Submit once to process your booking