Cruise Reservation Form  
Cruise & Tour International

1. Please complete the following for yourself & your travel companion.
2. All the people in the same cabin use one registration form.
Name of Cruise:
Name of Cruise Company/Ship:
Sailing Date:

Last Name First Name & Middle Name Gender Age Date of Birth
(mm/dd/yr)

       Tel:  (H) (Cell)   (W)  
       e-Mail:     Fax:   
       Address: Street   City      State  
          Zip Code 

       Passport Nationality:    Green Card :   Yes    No   
       USA Reentry Permission:  Yes    No

       Airline Ticket:   Doesn't need  Need
         DEPARTURE DATE (mm/dd/yr)  CITY
         RETURN DATE FROM (mm/dd/yr)   TO (mm/dd/yr) 

       Hotel:  Doesn't need  Need    CITY
         DATE FROM (mm/dd/yr)    TO (mm/dd/yr) 

       Cabin Category:      Room Reservation   No Room Reservation

       Preferred Dining Hours ﹕
Main Seating  
Late Seating  
Breakfast about 7:00-8:00am Breakfast about 8:30-10:00am
Lunch about 12 :00 noon Lunch about 1:30pm
Dinner about 6:00pm Dinner about 8:30pm
Seating Area: Non-Smoking Smoking
Number of People at the Same Table: 4   6   8   10
Diet Accommodation﹕ Normal   Vegetarian  
      If vegetarian, please specify:  

       Celebration:  Birthday   Name:  Wedding   Anniversary
             Other

       Payment:    Credit Card:    Expiration Date:

         Check ( pay to the order of J & M International )   Check Number:
(Full payment required 35 days prior to departure date)

       Registration Date :
       Staff Name: (for company to fill in only)