Acta World Travel: Cruise Booking Form

acta (ahk tah): Latin meaning holiday; life of leisure

Acta World Travel

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Cruise Booking Form

Please complete this form to begin the booking process.

Contact Name:

Address:

Phone:

Secondary Phone:

Email:

Cruise Information
Passenger Name (As it appears on travel documents)	Date of Birth (mm/dd/yyyy)	Passport #	Frequent User #

Stateroom Preference	No Preference	Inside	Outside Porthole	Outside Window	Balcony	Suite
Stateroom Preference

Bed Configuration	No Preference	Singles	Queen
Bed Configuration

Special Needs?

Dining Seating Request	No Preference	Early	Late	Table Size
Dining Seating Request

Special Occasion?

Include Gratuities?

Insurance?

Air Request

Departing Airport

Preferred Airline

AM/PM

AMPM

Seating Preference	Aisle	Window	Front	Rear
Seating Preference

Pre- or Post- Cruise Hotel

Pre-Cruise	Post-Cruise

Please print, complete, and fax the credit card authorization form.

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