KRED 6th ANNUAL LISTENERS CRUISE

Contact Tracy, Ann or Cece at Flying Dutchmen Travel
707-546-1212 or 800-248-7471
Email: information@flyingdutchmentravel.com


Please write your name as it appears on your proof of citizenship.

If you have ANY difficulties in completing this form, please contact Tracy, Ann or Cece of Flying Dutchmen Travel
at (707) 546-1212, and we will be happy to assist you.

* = required field
NAME OF PASSENGER #1:
Please write your name as it appears on your proof of citizenship.
Mr. Mrs. Ms.
 
* First Name: *Last Name:
*Mailing Address: *City:
*State: *Zip Code:
Day Phone: Eve Phone:
*E-mail: Birth Date: / /
Country of Citizenship    
FORM OF PAYMENT: Credit Card: Check:
Credit Card Type: Card Number:
Expiration Date:    
If paying by check, please provide the following information:
 Check Number:
AIr Gateway City:
 No Air Required:

Sunday Night Red-eye, Oct 26: Monday day Oct 27:

T-SHIRT:
Men's: S | M | L | XL | XXL         Women's: S | M | L | XL | XXL
NAME OF PASSENGER #2:
Please write your name as it appears on your proof of citizenship.
Mr. Mrs. Ms.
 
First Name: Last Name:
Mailing Address: City:
State: Zip Code:
Day Phone: Eve Phone:
E-mail Birth Date: / /
Country of Citizenship    
FORM OF PAYMENT: Credit Card: Check:
Credit Card Type: Card Number:
Expiration Date:    
If paying by check, please provide the following information:
 Check Number:
AIr Gateway City:
 No Air Required:
Sunday Night Red-eye, Oct 26: Monday day Oct 27:
T-SHIRT:
Men's: S | M | L | XL | XXL         Women's: S | M | L | XL | XXL
NAME OF PASSENGER #3:
Please write your name as it appears on your proof of citizenship.
Mr. Mrs. Ms.
 
First Name: Last Name:
Mailing Address: City:
State: Zip Code:
Day Phone: Eve Phone:
E-mail Birth Date: / /
Country of Citizenship    
FORM OF PAYMENT: Credit Card: Check:
Credit Card Type: Card Number:
Expiration Date:    
If paying by check, please provide the following information:
 Check Number:
AIr Gateway City:
 No Air Required:
Sunday Night Red-eye, Oct 26: Monday day Oct 27:
T-SHIRT:
Men's: S | M | L | XL | XXL         Women's: S | M | L | XL | XXL
NAME OF PASSENGER #4:
Please write your name as it appears on your proof of citizenship.
Mr. Mrs. Ms.
 
First Name: Last Name:
Mailing Address: City:
State: Zip Code:
Day Phone: Eve Phone:
E-mail Birth Date: / /
Country of Citizenship    
FORM OF PAYMENT: Credit Card: Check:
Credit Card Type: Card Number:
Expiration Date:    
If paying by check, please provide the following information:
 Check Number:
AIr Gateway City:
 No Air Required:
Sunday Night Red-eye, Oct 26: Monday day Oct 27:
T-SHIRT:
Men's: S | M | L | XL | XXL         Women's: S | M | L | XL | XXL
Number of Passengers in your cabin *: 1  2  3  4   

Other passengers not in your cabin, with whom you would want to dine with or have cabins located close by (*WE WILL DO EVERYTHING POSSIBLE TO PUT CABINS IN PROXIMITY, BUT CANNOT GUARANTEE PLACEMENT IN EITHER CABINS, DINNER SEATING, OR AIRLINE SCHEDULE):

TYPE OF CABIN *:

Click if you would like a Pre cruise night in Ft Lauderdale (1, 2 and 3 nights) with a $99 pp per night (based on double occ):
DINING *: EARLY  LATE:
TABLE SIZE: S  M  L  
If you will not be attending the pre-cruise document party and would like your documents mailed to you, please click here: ( Should you not be able to attend our pre-cruise document party then there is a $15.00 per address fee for sending your documents.)
Medical Conditions:   Wheelchair   Diabetes Other

Rates are capacity controlled, subject to availability and change without notice.
Stateroom Description & Pricing Info
Cabin Type Our Per Person Price
Interior Stateroom $1198.00
Ocean View Stateroom $1348.00
Balcony Stateroom $1498.00
Extended Balcony $1568.00
CAT 11 Mini Suite $2098.00
.

Government fees, taxes of $310 pp (unless otherwise stated) additional for all guests and subject to change. Deposit is $300.00 per person and subject to a $50.00 per person cancellation fee upon booking. Final payment is August 1 , 2008 .

 

Valid passports are required!

Optional Insurance Highly Recommended

Travel Insurance: We strongly urge you to protect your investment. Cancellation penalties apply! We will send you a Travel Guard Insurance form for you to fill out and mail directly to Travel Guard upon our receipt of your cruise deposit.

 

IMPORTANT

BY PLACING MY E-SIGNATURE BELOW, I HEREBY AUTHORIZE THE ABOVE CREDIT CARD TO BE CHARGED FOR THE CRUISE PACKAGE I HAVE PURCHASED. BY SUBMITTING THIS ON-LINE APPLICATION I ACKNOWLEDGE THAT I UNDERSTAND I (WE) MUST BRING PROPER PROOF OF CITIZENSHIP AS REQUIRED BY THE GOVERNMENT AS DESCRIBED ON THE WEB SITE FOR THIS CRUISE, OR I (WE) WILL NOT BE ALLOWED TO BOARD THE SHIP AND NO REFUND WILL BE ISSUED.

 

IF YOU ARE MAILING A CHECK, PLEASE MAKE IT PAYABLE TO:
Radiocruising.com/KRED
Mail Checks to:
Flying Dutchmen Travel
2245 Montgomery Drive., #A
Santa Rosa, California 95405
(707) 441-4955 / FAX (707) 545-2112
Email: information@flyingdutchmentravel.com
www.flyingdutchmentravel.com

Please confirm your cruise request by filling out the e-signature below. Then click the SUBMIT button to complete your request.
*My Name:
*Todays' Date: