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Cruise Deposit
 
Use this form to accept an email quote and pay the deposit amount.
 
Privacy notice: The requested information is required to properly handle your request. It is for our internal use only. We do not sell lists, nor share data with any other organization.
 
Secure form. After booking information is entered. You will be connected to a secure server to enter your payment information
Sailing information
 
Ship:
Sailing Date:
 
Enter number of passengers in one stateroom - maximum is 4
Use separate form for additional staterooms.
Number in cabin
 
Contact information
 
Please complete or verify information below
E-Mail address:
Daytime Phone:
Your Name:
Street Address:
City:
State:
Zip Code:
Province:
Postal Code:
State:
Postal Code:
Country:
 
Have you sailed with Holland America before?
  Yes No
  Yes No    ID number, if known  

Cruise Deposit
 
Sailing information
 
Ship:
Sailing Date:
 
If more than one category was quoted, be sure to specify which category you are accepting.
Category:
 
Air and transfers
If optional airfare was quoted, please indicate your choice below:
Include airfare as quoted. Home airport:
Do not include airfare. I will make my own arrangements
Include transfers only. I will make my own flight arrangements
 
Passenger Names
 
Important: Enter name as it appears on passport or other proof of citizenship which will be required for boarding.
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TitleNameDate of birth 
 
 
 
 
 
Dining Request
 
Note: all tables are non-smoking.
 
Dining time:Early seating Late seating Personal Choice
 
Table size:2 4 6 8
 
Names of other passengers (if any) you wish to be seated with:
Dine with:
 
Special occasion: Event (date and passenger name if appropriate):
Event:
 
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Cruise Deposit
 
Cruise:
Category:
 
Air:
 
Contact:
Address:
 
Email:
Phone:
 
Alumni:
 
Passengers:
 
 
 
 
Dining:
Event: