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Cruise Booking form

Important Note: Please read our booking conditions before completing this booking form. At the bottom of this form you will be asked to confirm that you have read and understand the booking conditions. This form CANNOT be sent if this box is not ticked.

 

Personal Details
Lead Name Title Initials Surname
Address
Tel (day)
Tel (eve)
Email
Fax

Please list all passengers travelling
*The names shown below MUST be as shown on each traveller’s passport.
Gender*
Title*
Forenames*

Surname*
Date of Birth*
Country of Birth*
Citizenship*
Passport Number*
Nationality of Passport*
Passport – Place of Issue*
Passport – Date of Issue*
Passport – Date of Expiry*
         

If there are more than 4 members of your party

please contact us on 0870 9025399 or email us at:
res@emagine-travel.co.uk

If you have any special requests please enter them in the box below.


Cruise Details
Ship
Sailing Date from UK

Stateroom 1
 
Stateroom 1 Category
Stateroom 1 No. (if known)
Stateroom 1 Occupancy
Twin Double 3rd/4th Single
Celebrity Cruises Captains Club (if known)

Stateroom 2
(if applicable)
 
Stateroom 2 Category
Stateroom 2 No. (if known)
Stateroom 2 Occupancy
Twin Double 3rd/4th Single
Celebrity Cruises Captains Club (if known)

Dining Requirements
Although every attempt will be made to satisfy guests requests, please be advised that all seating arrangements are subject to availability and cannot be confirmed until embarkation.
Breakfast: Open Lunch: Open
Preferred table size
Preferred age group:

In case of emergency please notify
Name:
Daytime Tel No.
Evening Tel No.

Insurance

In your own interest insurance premiums will be added to your invoice unless alternative insurance cover is indicated below. Please complete if our insurance is NOT required. I do not require insurance. My insurance company is:

Please tick here if you do not require insurance cover.
If you have insurance cover please give the full name of your insurance company below
Policy Number:

 


Payment Details
No of Persons Amount
Deposit of £120.00 per person^

£

Insurance

£

Total

£

Payments by credit card (2.5% credit card fee/0.5% Maestro/Delta fee)

£

Full amount to be debited

£

^ Full payment due if booked within 8 weeks of departure

Payments by cheque should be made to Emagine UK Limited and sent with this booking form to: Emagine UK limited, 87-89 Church Street, Leigh, Greater Manchester. WN7 1AZ

If you are paying by cheque

Enter cheque value here


If you prefer you can always call us with your credit card details on 0870 9025399* just tick the box below so we will know to expect your call. Then send your on line booking form in the normal way by clicking SUBMIT.

*Call with Credit Card Detail Mon-Fri 09.00-17.30

I wish to call the office with my Credit card payment details

Booking Conditions

On behalf of the persons I have read and understood the booking conditions and therefore authorise Emagine UK Ltd to make the booking. I agree to pay the balance no later than 56 days before departure. I am over 18 years of age.
I also accept that all persons listed are themselves responsible for seeing that health and immigration requirements are fulfilled. In particular I understand that the information to be provided in respect of all the party members in the boxes marked with an asterisk (*) is required by the Immigration Authorities of the countries where the cruise concerned is to depart from or call at and that failure to provide this information fully and accurate may result in the party member(s) being refused entry/exit from their cruise ship for the whole or part of the cruise.


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