ESCAPADE CRUISES & TOURS


Specializing in Singles Travel & Tours Since 1998
Toll Free: 1-888-775-0288
 

Home Contact Us The World Activities & Interests Cruises Tours Packages Cruising Close To Home

 

Escapade Cruises &Tours, LLC Arrow Reservation Request
Reservation Request
Singles Cruises and Tours

ESCAPADE CRUISES & TOURS BOOKING FORM

7850 Nine Mile Rd NE, Rockford, MI 49341

Toll Free:  888-775-0288 x241  Direct:  616-874-2594  Fax:  616-874-0126

Web site:  www.singlescruises-tours.com

 

CLIENT INFORMATION

 

Legal Name:  _________________________________________________

Address:  _____________________________________________________

Phone:  Day-______________________Night-_______________________

Date of Birth: _____________________Gender- male/female___________

Email:  _______________________________________________________

Citizenship:  USA-__________Passport: #__________________________

Travel Companion Info:  ________________________________________

 

Cruise requested:  ______________________________________________

Cabin Type:  Inside- _________Oceanview-_________Balcony-_________

Cabin Mate request:    Yes/No  (OR)   Single occupancy cabin:   Yes/No

Smoking Preference:  Smoking or Non-Smoking ____________________

Past Cruiser Information:  _______________________________________

Medical Conditions:  ___________________________________________

 

Flight Request: Yes/No__________________________________________

Hotel Request: Yes/No___________________________________________

Transfer Request: Yes/No________________________________________

Insurance Request:  Yes/No__________________

 

PAYMENT OPTIONS

 

Checks, Money Orders or Credit Cards are accepted.

Deposits:  _______________ Final Payments:  ______________________

Credit Card Number:  ___________________________________________

Name as on CC:  _______________________________________________

Billing Address:  _______________________________________________

 

Comments/Questions:  __________________________________________