Aloha Gay Group Reservation Form

Aloha Gay Group Cruise Reservation Form

Please complete the registration form below to secure your space for the Aloha Gay Group Cruise brought to you by PrideOne Travel and Cruises. Should you have any questions or concerns, or prefer not to fill out the secure form online, call Scott at 816-237-8625 or email scott@prideonetravel.com.
Guest Information:
Please enter full legal name as shown on guests passport or government issued photo ID.
Guest 1
Name:

First NameMiddle NameLast Name
Birth Date:

MonthDayYear
Gender:
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail Address:
Phone Number:
Mobile Number:

Area CodePhone Number
Home Number:

Area CodePhone Number
Business Number:

Area CodePhone Number
Secondary Phone Number:
Mobile Number:

Area CodePhone Number
Home Number:

Area CodePhone Number
Business Number:

Area CodePhone Number
Country of Citizenship:
Norwegians' Lattitude Number:
Guest 2
Full Name:

First NameMiddle NameLast Name
Birth Date:

MonthDayYear
Gender:
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail Address:
example@example.com
Phone Number:
Mobile Number:

Area CodePhone Number
Home Number:

Area CodePhone Number
Business Number:

Area CodePhone Number
Country of Citizenship:
Norwegians' Lattitude Number:
If there are any additional guests in this stateroom, please note in the comments in the cruise section.

Cruise Information
Please select your desired stateroom:
Select your Suite and Penthouse Category:
Select your Balcony Stateroom Category:
Select your Oceanview Stateroom Category:
Select your Inside Stateroom Category:
Special Needs:
If you have any special needs (wheelchair accessible room, oxygen access, or any other medical necessities) or are restricted to a special type of cuisine (diabetic, gluten-free, etc.) or have any other situation you wish to make Norwegian Cruise Lines aware of, please enter it below.
Special Needs:
Other Cruise Comments:
Other Comments:

Hotel
PrideOne Travel and Cruises are working on blocking a group of rooms before and/or after the cruise.
Are you interested in a hotel before or after the cruise?
What is your preference?
How many nights?
Comments

Travel Insurance:
Do You Want to Protect Your Cruise Vacation by Adding Travel Insurance?

Travel Insurance is highly suggested in case of last minute illnesses, accident or family emergencies. This will protect your investment from loss. click here for policy description, coverage, and policy amounts.

Any Travel insurance will be paid at final payment.
Would you like to add travel protection?
Which Policy?
Other Travel Insurance Comments:
Additional Comments:

Deposit Payment
NOTE: All Payments for the cruise are fully refundable up until December 20, 2017. Prior to that date, you may cancel without penalities. Cancellation after November 25, 2015 are subject to penalties up to the full cost of the cruise.
Select an option below for your payment today: Full deposit is required in order to be assigned a stateroom.
Amount to be charged:
Please Select Credit Card Type:
Name on Card:

First NameLast Name
Last Four Digits:
Expiration Dare:
PrideOne Travel and Cruises will call you to verify this booking and to get the rest of the Credit Card Number and Security Code or you may call 816-237-8625.
Billing Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Comments:
Norwegian Cruise Lines Ticket Contract
Please click here to review Norwegian Cruise Lines Ticket Contract. You will be able to download it for your records, and you will be provided a copy with your booking confirmations. Please click here to review Aloha Gay Group Cruise Terms and Conditions.
Please select each of the following, if you agree.
Enter the message as it's shown
Should be Empty:

Aloha Gay Group Cruise Reservation Form