After submitting this information, one of our travel professionals will contact you within 24 hours to obtain your payment information.
Required fields are starred(*).
Number of Passengers: |
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Passenger #1 |
| *Legal Name w/middle name (passenger #1): |
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| *Address: |
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| *City: |
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| *State/Province: |
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| *Country: |
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| *ZIP/Postal Code: |
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| *Home Telephone: |
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| Business Telephone: |
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| Cell Phone: |
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| *Emergency Contact Name: |
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| *Emergency Contact Phone Number: |
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| Email Address: |
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| *Date of Birth: |
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| Are you a past Royal Caribbean Cruise Lines Guest? |
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| Passport Number: |
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| Passport Expiration: |
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| Citizenship: |
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| Departure City: |
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| Tee-Shirt Size: |
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Passenger #2 |
| *Legal Name w/middle name (passenger #2): |
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| *Address: |
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| *City: |
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| *State/Province: |
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| *Country: |
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| *ZIP/Postal Code: |
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| *Home Telephone: |
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| Business Telephone: |
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| Cell Phone: |
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| *Emergency Contact Name: |
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| *Emergency Contact Phone Number: |
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| Email Address: |
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| *Date of
Birth: |
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| Are you a past Royal Caribbean Cruise Lines Guest? |
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| Passport Number: |
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| Passport Expiration: |
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| Citizenship: |
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| Departure City: |
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| Tee-Shirt Size: |
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Passenger #3 |
| *Legal Name w/middle name (passenger #3): |
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| *Address: |
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| *City: |
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| *State/Province: |
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| *Country: |
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| *ZIP/Postal Code: |
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| *Home Telephone: |
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| Business Telephone: |
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| Cell Phone: |
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| *Emergency Contact Name: |
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| *Emergency Contact Phone Number: |
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| Email Address: |
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| *Date of Birth: |
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| Are you a past Royal Caribbean Cruise Lines Guest? |
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| Passport Number: |
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| Passport Expiration: |
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| Citizenship: |
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| Departure City: |
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| Tee-Shirt Size: |
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Passenger #4 |
| *Legal Name w/middle name (passenger #4): |
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| *Address: |
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| *City: |
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| *State/Province: |
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| *Country: |
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| *ZIP/Postal Code: |
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| *Home Telephone: |
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| Business Telephone: |
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| Cell Phone: |
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| *Emergency Contact Name: |
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| *Emergency Contact Phone Number: |
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| Email Address: |
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| *Date of Birth: |
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| Are you a past Royal Caribbean Cruise Lines Guest? |
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| Passport Number: |
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| Passport Expiration: |
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| Citizenship: |
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| Departure City: |
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| Tee-Shirt Size: |
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Additonal Information |
| Conference you plan to attend: |
(Cruise)
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If you are attending the sand conference,
please include this information: |
| When will you be checking in: |
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| How many nights? |
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| Number of Beds: |
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| Special dietary needs? |
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Hotel accomodations will be at:
Doubletree Hotel West - Tampa
Land conferences are planned for Saturday, April 5
and Sunday, April 6, 2014. |
If you are attending the sea conference,
please include this information: |
| Please indicate cruise room choice: |
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| Number of Beds: |
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| Special dietary needs? |
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Cruise accomodations will be aboard:
Royal Caribbean Brilliance of the Seas
Cruise departs Monday, April 7, 2014 at 4:30PM
and returns Saturday, April 12, 2014 at 7:00AM
Sea conferences are planned for Tuesday, April 8
and Friday, April 11, 2014. |
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Early Bird
Conference Fees: |
Sea Only $50 - Sand Only $50.00
Both Conferences are only $75.00 |
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| If you are flying, please include this information: |
| Seating Preference: |
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| Form of Payment: |
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Credit Card Details |
Credit Card Number:
(No spaces or dashes) |
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| Expiration Date: |
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| CVV (Security Code): |
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| Name on Credit Card: |
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We require a $200.00 per person deposit to hold your space for this event. The credit card above will be charged $200.00 per person and final payment
must be received by December 20, 2013. The credit card used for the initial deposit will be automatically charged for the remaining payment on the date shown above,
UNLESS participant advises agency of alternate payment arrangements. |
Comments/Suggestions |
| Comments: |
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