NYC Mambo Cruise - Registration

Applications are processed on a first come basis.

Please Note: We cannot reserve a cabin until a $150 deposit (per person) is received. The deposit is NON-REFUNDABLE!

Please complete the following registration form. When you press “Submit” the form will be forwarded to the Customer Service Department. The Customer Service Department will confirm your category selection and price.

For checks or Money order - Please click here to download an offline registration form.

Section 1: Personal Information ( Legal Name )

Legal Last Name:

Legal First Name:

Middle:

Date of Birth: (mm/dd/yy)

Address:

City:

State:

Zip Code:

Country of Citizenship:

Home Telephone#(___)___-____:

Cell Phone#(___)___-____:

Fax#(___)___-____:

Email Address:

Section 2: Emergency Contact Information

Emegency Contact Full Name (First/Last):

Emergency Contact Phone #(___)___-____:

Section 3: Optional Insurance but Highly Recommended

Would you like Cruise Insurance (Highly Recommended):

Yes, Insurance @ $59.00(Per Person), add to my invoice
No

Section 4: Group and Cabin Selection

Group Selection:

Cabin Selection:

Click Here to View Pricing and Cabins. PAY IN FULL AND RECEIVE A 5% DISCOUNT
(per person)

Note: If you are not paying for single occupancy then you are required to fill in at least one roommate below.

Please List the Full Legal Name of Your First Roommate (First,Last & Middle):

Date of Birth: (mm/dd/yy)

Please List the Full Legal Name of Your Second Roommate (First,Last & Middle):

Date of Birth: (mm/dd/yy)

Please List the Full Legal Name of Your Third Roommate (First,Last & Middle):

Date of Birth: (mm/dd/yy)

Please List the Full Legal Name of Your Fourth Roommate (First,Last & Middle):

Date of Birth: (mm/dd/yy)

Are You Paying For Your Roommate?:

If your roommate(s) is/are paying separately, your roommate(s) must also complete a Registration Form.

Yes
No

Section 5: Deposit & Payment Information

A NON-REFUNDABLE deposit of $150 per person is required to reserve a cabin.

Several payment options are available*. You may pay by credit card, debit card, personal check, or cashier’s check. There are also different payment plans from which to choose. Please select a payment plan from the options listed below.

Please Note: The balance (after deducting the deposit) will be divided into equal monthly payments for the number of months you select. The monthly installments begin one month after the deposit is received. The installments will continue each month until the balance is paid in full.

Method of Payment:

Card Number (no dashes):

Name as it appears on card:

Exp. Month:

Exp. Year(yy):

Security Code.
The Card Security Code (3-digit code) is located on the back of MasterCard, Visa and Discover credit or debit cards and American Express Credit Cards the 4-digit code is located on the front.

Billing Information:

Same as Above

Address:

City:

State:

Zip Code:

Charge $_____(min. $150 per person) to my Card

Please set up a payment plan schedule with our agent. Last payment is due on September 5, 2008

Section 6: Cancellation Policy

The deposit is ONLY REFUNDABLE up until February 1, 2008. Afterwards Refunds will be calculated as a percentage of your total payments after deducting the Deposit. For example, if you paid $600 for double occupancy and you cancel before March (1-31), 2008, you will receive a refund of $150. This was calculated as follows. Total payments of $600 minus $300 ($150 per person) equal $300. 50% of $300 equal $150.

Cancellation Date Refund %
March (1-31) 2008 50%
May (1-31) 2008 30%
After May 2008 0%

Section 7: Cancellation Insurance

We strongly encourage you to purchase cancellation insurance. Cancellation insurance is available through various venders, please contact us for rates and coverage at ? ).

You're almost DONE! A NYC Mambo Cruise2008 Customer Service Representative will confirm your information and category before your deposit is processed.

Thanks and Enjoy the Cruise!!!!!!!