Please print the following form, fill in as much information as possible, and mail or fax to:
Meetings & Incentive Marketing - MIM Travel
10125 W Oakland Park Blvd - 363
Fort Lauderdale, FL 33351
Fax: 954-252-4086
1. PASSENGER INFORMATION __________________
Passenger's Name____________________________________________________________Birth Date_____/_____/____
Citizenship_____________________________________________Passport #____________________________________
Traveling with_______________________________________________________________Birth Date_____/_____/_____
Citizenship_____________________________________________Passport #____________________________________
Every person entering the US by air, requires a passport after Jan. 23, 2007. WE RECOMMEND THAT YOU OBTAIN YOUR US PASSPORT AS SOON AS POSSIBLE IN ORDER TO AVOID THE LAST MINUTE RUSH.
I am looking for a "Share", __________I am a Smoker, __________I am a NON-SMOKER. PLEASE NOTE THAT ALL PAYMENTS MADE FOR SHARE RESERVATIONS ARE NON-REFUNDABLE UNLESS A SHARE REPLACEMENT CAN BE FOUND)
(If you would like us to arrange a share, please state on above line).
Nicknames (if applicable)______________________________________________________________T-Shirt Size: S M L XL (Plse circle)
Address of first passenger_____________________________________________________________
City ______________________________ State _______ Zip Code _____________
Telephone (Home) ______________________ (Business) ________________________
Address of second passenger___________________________________________________________
City ______________________________ State _______ Zip Code _____________
Telephone (Home) ______________________ (Business) ________________________
Please provide your email address: _________________________________________________________
2. CRUISE INFORMATION I would like to sail with the following Royal Caribbean gay cruise group:
Jewel of the Seas, from Fort Lauderdale, (Norm's Group 3) FL, Feb. 3 to 9, 2008______________
Legend of the Seas, from Sto. Domingo, DR, (Dominican Heat #1) Feb. 24 to Mar. 2, 2008 __________
Legend of the Seas, from Sto. Domingo, DR, (Dominican Heat #2) Mar. 2 to Mar. 9, 2008. ________
3. CABIN INFORMATION
_____ I would like an inside double cabin, Category ______, at $____________ per person, double occupancy.
_____ I would like an outside double cabin, Category ______, at $____________ per person, double occupancy.
_____ I would like a balcony cabin, Category ________, at $______________ _per person, double occupancy
_____ I would like a single inside cabin, Category _______, at $____________ total for the cabin.
_____ I would like a single outside cabin, Category _______, at $____________ total for the cabin.
_____ I would like a single balcony cabin, Category ________, at $ ___________total for the cabin.
_____ Please arrange a share (if available) in Category ______, at $____________, double occupancy rate.(Taxes are additional.)
4. PAYMENT INFORMATION
_____ I will pay by check. I am enclosing a personal check or money order, payable to Meetings & Incentive Marketing for $250 for each passenger to secure my reservation.Deposit for single cabins is $500. I will pay the balance due as per the payment schedule shown below. (All checks must be in US funds, drawn on a US Bank - Foreign checks are not acceptable)
_____ I will pay by the following credit card. My account will be charged $250 per passenger immediately to secure my reservation. Deposit for single cabins is $500. The balance will be charged as per the payment schedule shown below.
_____ American Express _____ Visa _____ Mastercard _____ Discover
Card Number: _____________/_____________/_____________/_____________ Security Code_____________
Expiration Date: MO/YR _______/_______
Card Holder's Name ____________________________________________________
Billing Address ________________________________________________________
City _________________ State ______ Zip ________
2nd Credit Card # (if required)_____________/______________/_______________/______________
Expiration Date: MO/YR _________/__________
Card Holder's Name_____________________________________________________
Billing Address__________________________________________________________________________________________
I authorize Royal Caribbean International or Meetings & Incentive Marketing, to charge deposits and payments to my credit card in accordance with the payment schedule.
Card Holder's Signature _______________________________________________
2nd Card Holder's Signature__________________________________________________
Date __________________________________________
5. PAYMENT SCHEDULE
Deposit of $250.00 per person, or $500.00 for a single cabin, is due at time of booking (Cancellation Fee $75) Final Payment is due 80 days prior to departure.(Cancellation Fee 50%) / No Refunds 60 days prior to sailing. Reservations made after final payment dates, require full payment at time of booking. We strongly recommend the purchase of travel insurance which is available through CSA Insurance.
6. YOUR TRAVEL AGENT'S INFORMATION (Not required if booking with MIM Travel)
NAME OF AGENCY:_________________________________________________________________________
Address:_________________________________________________________________________________
City, State, Zipcode:________________________________________________________________________
E-Mail Address:____________________________________________________________________________
Agency Stamp:
7. AIR INFORMATION
I would like to purchase Royal Caribbean air add-on for one-way/roundtrip travel to Santo Domingo, Dom. Rep. or Fort Lauderdale, Florida, from _____________________ at $ ________________ extra per person. This will be paid on the final payment date as per the payment information supplied.
8. INSURANCE REQUEST
Would you like to purchase the optional CSA travel insurance of $_____________per person? ____________ Yes ____________ No (Please initial)
9. DINING REQUEST
I would like to request the following, subject to availability: Early or Late _______ Table size (Small or Large) _________ (Late dining recommended, larger tables are with other group members.)
10. OTHER INFORMATION AND CONDITIONS
Liability and Responsibility - Please read the following carefully. Making a reservation and acceptance of tickets and/or vouchers shall be deemed to be an acceptance of these conditions. MEETINGS & INCENTIVE MARKETING (aka MIM Travel),, the tour operator, act solely as agents for the passenger. MEETINGS & INCENTIVE MARKETING and ROYAL CARIBBEAN INTERNATIONAL(RCI) do not accept responsibility in whole or part for any delay, loss, accidents, personal injury, sickness, medical expenses, or property damage occasioned by fault or negligence of any person, employee or company entrusted with the performance of such service from whatever cause. The travel agent and cruise line will not be responsible for any expense or inconvenience caused by late arrivals and departures of trains, ships, airplanes, buses, autos or any changes of schedule beyond its control. The travel agent and cruise line will not accept responsibility for the loss of, or damage to your luggage, money, jewelry, valuables or any other belongings whatsoever and howsoever caused.
The tour operator/travel agent is responsible for all services to be provided in respect to this tour. All tour services, including but not limited to hotel accommodations, restaurants, guide services, ground transportation, and cruise transportations, are furnished by contractors that are independent from, and that do not act for or on behalf of or as agents of or as joint ventures with the air carrier, cruise line or tour operator.
The right is reserved by the tour operator to make any changes that might become necessary with or without notice. The tour operator reserves the right to accept or decline any person as a member of the tour at any time and to cancel the tour if minimum space requirements are not met. The passenger agrees to the use of his/her likeness in photo or video, unless specifically specified otherwise in writing.The passenger further agrees and releases Meetings & Incentive Marketing, MIM Travel and RCI, their representatives and agents, from liability, loss, expense or claims arising from distribution, broadcast, sale or use of his or her likeness or voice. The passenger will have an opportunity during the travel event, but no guarantee can be made by Meetings & Incentive Marketing, that the guest will not be included in promotional materials.
The sole and exclusive responsibility of the air carrier and cruise lines shall be in accordance with and as limited by the contract of carriage set forth in the passenger's ticket, baggage check and tariffs issued by the carrier/cruise line. The cruise line ticket and contract will be included in passenger documents. The passenger ticket, when used, shall constitute a sole contract between the airlines/cruise lines and the purchaser of these tickets and/or passenger. These carriers and other carriers are not responsible for any act, omission or event during the time the passengers are not on board their planes or conveyances.
Deposit/Cancellation Policy Per Person - Any changes in passenger name will be considered a cancellation. All deposits, payments, and cancellation fees are per person. The purchase of trip cancellation insurance to protect the passenger is strongly recommended and can be arranged by MEETINGS & INCENTIVE MARKETING or your Travel Agent.
Signature/Authorization - to be signed by each passenger.
I have read and agree to the terms, liability, responsibility, payments schedules, deposit policy, and cancellation policy as written above. I have been offered travel cancellation insurance.
Passenger's Signature ___________________________________________ Date ________
Second Passenger ______________________________________________ Date _________