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Phil Coulter's 26th Tranquility Cruise
JANUARY 13 - 24, 2024
PASSENGER #1 First Name
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Middle Name
Last Name
*
Date of Birth
*
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Street Address
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Address Line 2
City
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State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Country
Zip Code/Postal Code
Phone Number
*
Email Address
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Emergency Contact Name and Cell Phone (someone not traveling with you)
PASSENGER #2 First Name
Middle Name
Last Name
Date of Birth
+
If sharing a room, please enter your roommates name here:
Which cabin category would you like to book*?
*
SA – Neptune Suite - Double Occupancy - $5,316.00 - Per Person
SA – Neptune Suite - Single Occupancy - $9,585.00
SB – Neptune Suite - Double Occupancy - $5,006.00 - Per Person
SB – Neptune Suite - Single Occupancy - $9,065.00
SC – Neptune Suite - Double Occupancy - $4,696.00 - Per Person
SC – Neptune Suite - Single Occupancy - $8,445.00
SS – Signature Suite - Double Occupancy - $4,316.00 Per Person
SS – Signature Suite - Single Occupancy - $7,685.00
SY – Signature Suite - Double Occupancy - $4,096.00 Per Person
SY – Signature Suite - Single Occupancy - $7,245.00
V – Verandah Stateroom - Double Occupancy - $2,856.00 Per Person
V – Verandah Stateroom - Single Occupancy - $4,765.00
VA- Verandah Stateroom - Double Occupancy - $2.816.00 Per Person
VA- Verandah Stateroom - Single Occupancy - $4,685.00
VB- Verandah Stateroom - Double Occupancy - $2,776.00 Per Person
VB- Verandah Stateroom - Single Occupancy - $4,605.00
VC- Verandah Stateroom - Double Occupancy - $2,736.00 Per Person
VC- Verandah Stateroom - Single Occupancy - $4.525.00
VD- Verandah Stateroom - Double Occupancy - $2,696.00 Per Person
VD- Verandah Stateroom - Single Occupancy - $4,445.00
C – Oceanview Stateroom - Double Occupancy - $2,616.00 Per Person
C – Oceanview Stateroom - Single Occupancy - $3,951.00
D – Oceanview Stateroom - Double Occupancy - $2,586.00 Per Person
D – Oceanview Stateroom - Single Occupancy - $3,897.00
E - Oceanview Stateroom - Double Occupancy - $2,562.00 Per Person
E - Oceanview Stateroom - Single Occupancy - $3,789.00
J - Interior - Double Occupancy - $2,116.00 Per Person
J - Interior - Single Occupancy - $3,051.00
K - Interior - Double Occupancy - $2,106.00 Per Person
K - Interior - Single Occupancy - $3,033.00
Please check here if you would like airport transfers.
*
Roundtrip from FLL ($40 pp)
Roundtrip from MIA ($60 pp)
Return only to FLL ($20 pp)
Return only to MIA ($30 pp)
Would you like a pre-night stay on the night of January 12, 2024?
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YES
NO
Would you like a quote on Holland America travel insurance?
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YES
NO
Deposit
*
Yes, sign me/us up for the cruise. A $600.00 per person deposit is required to confirm a cabin. Please use the credit card information that I have provided below for the deposit.
Name on Card
*
Credit Card Type
*
Visa
MasterCard
American Express
Discover
Credit Card Number
*
Expiration Date (mm/yy)
*
CVV
*
Additional Comments:
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