REGISTRATION FORM
2010 GLORYLAND GOSPEL MUSIC CRUISE
5 day – Grand Cayman and Cozumel Mexico
February 8 - 13 , 2010 Carnival Ship - Inspiration
LEGAL FIRST AND LAST NAME:
ADDRESS
CITY
STATE ZIPCODE
STATE ZIPCODE PHONE DATE OF BIRTH
DATE OF BIRTH GENDER US RESIDENT
CHOOSE YOUR CABIN (Cabins are limited!)
YOUR HOST GROUP SIGNING WITH
LIST NAME(S) OF OTHERS SHARING YOUR CABIN
ARE YOU A PAST CARNIVAL GUEST? GUEST #
CRUISE COST - 1ST AND 2ND PERSON DELUXE CABIN - $659 OCEAN VIEW CABIN - $729
3RD AND 4TH PERSON DELUXE CABIN - $559 OCEAN VIEW CABIN - $629
CAT 11 1ST AND 2ND PERSON DELUXE SUITE - $xxxx 3RD PERSON IN SUITE $xxx
CAT 12 1ST AND 2ND PERSON DELUXE SUITE – $xxxx 3RD & 4TH CAT 12 SUITE $xxx
ALL PRICES INCLUDE PORT TAXES & GRATUTIES
$100 MINIMUM DEPOSIT PER PERSON REQUIRED
Monthly payments are accepted – Total payment must be received by October 1, 2009
Cancellation Policy – **Prior to 10-01-09 $50. **10-02-09 to 1-18-10 50% of fare ** After 1-18-10 100% of fare
PLEASE COMPLETE THIS FORM AND RETURN WITH DEPOSIT TO:
2010 GLORYLAND GOSPEL MUSIC CRUISE
c / o DON BARNETT, TREASURER
6310 GAYLE DRIVE
LOUISVILLE, KY 40219
QUESTIONS? E-mail tomboles@bellsouth.net Telephone 502-262-5309
A VALID US PASSPORT IS REQUIRED FOR ALL PASSENGERS
Please complete one registration form for each person
** Travel Insurance available upon request
Credit Card Info Card Type
Card Number
Card Expiration Date
Amount To Charge On Card $
**** Charge Card Limited To 50% of Total Fare ****
Once all completed fields are filled in, print form and mail to Don Barnett, Treasurer at address above.
