Xhotel form

Please fill out the information below and SUBMIT.

GUEST 1 INFORMATION:

Guest 1 LEGAL NAME as on Passport*

First NameLast NameSuffix (Jr. / Sr. / III)

Are You an Alumni Travel Network Past Guest?*

YESNO

Group Number

Birth Date*

MonthDayYear

*

HOME Phone Number

Area CodePhone Number

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

CELL Phone Number:

Area CodePhone Number

Main Email*

must check often; add info@thecruiseacademy.com to your address book

T-Shirt Size:

CC Type

CC Number

Exp. Date

CVC Code

Roommate 1 Name:

Roommate 1 Name

First NameLast NameSuffix

Roommate 2 Name:

Roommate 2 Name

First NameLast NameSuffix

What Type of Cabin would you like?*

Payment Instructions:*

Charge Room Deposit of $150 ppCharge Full Room Balance

Airport I am Flying From:

Attendees Submitting Separate Forms:

Roommate will register later (please indicate name in comments)I do not have a roommate; traveling solo at above priceHelp me find a roommate

Questions or Comments:

How Did You Hear About Us?*

My Products

Deposit$150.00

Full Balance Single Garden View$600.00

*

Enter the message as it's shown, then click pink button below to submit.*

Social Xcapade 2015