Vacations By Sea - discount cruises, yacht charters, budget travel

Passenger Information Form

Please complete this form for each cabin you are booking. (You may also print this page, complete it and fax it to 213-###-####.) Once received an agent will contact you via phone for deposits or payments. Your reservation is not confirmed until a deposit is received.

Names must appear exactly as they do on your official documents that you will present the cruiseline and/or airline as identification (no nicknames).

Booking Information

Group Name:
*Cabin Type:
How many passengers in this cabin?
Dining Preference:
*Travel Insurance:
	If you decline Travel Insurance, you MUST check this box to confirm that you have declined it.
Referring Agent Name:

Passenger #1

*Title:
*First Name:
*Last Name:
*Street Address:
*City, State, Zip Code:
*Email Address:
*Phone Number with Area Code:
*Date of Birth (Month, Day, Year):
Citizenship:
Special Needs (diet or other):

Passenger #2

Title:
First Name:
Last Name:
Street Address:
City, State, Zip Code:
Email Address:
Phone Number with Area Code:
Date of Birth (Month, Day, Year):
Citizenship:
Special Needs (diet or other):

Passenger #3

Title:
First Name:
Last Name:
Street Address:
City, State, Zip Code:
Email Address:
Phone Number with Area Code:
Date of Birth (Month, Day, Year):
Citizenship:
Special Needs (diet or other):

Passenger #4

Title:
First Name:
Last Name:
Street Address:
City, State, Zip Code:
Email Address:
Phone Number with Area Code:
Date of Birth (Month, Day, Year):
Citizenship:
Special Needs (diet or other):

Check this box indicating that you understand that your reservation is not confirmed until we have received your deposit. (An agent will contact you to make payment arrangement for your deposit.)