Cruise Registration Form

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<<2012 Cruise Registration Form>>

 

Click Drop Down Arrow to Select Your Sponsor:    (This is the person who signed you up for this cruise)
 
First Person In Cabin:
Last Name:            First Name:         Date of Birth:           
 
Address:      APT#: 
 
City:          ST:      ZIP:  
 
Phone-H:      Phone W:      Phone-M: 
 
E-Mail:  
Cruise Cabin Options    (Click the drop down arrow & select your Cruise Category)
CAT 4    $425.00 *    Cabin Without Window     
CAT 6    $495.00 *    Cabin With Window
CAT 8    $615.00 *    Cabin With Balcony
 *   Taxes & Fees not included   
Second Person In Cabin:
Last Name:            First Name:         Date of Birth:           
 
Address:                       APT#: 
 
City:          ST:      ZIP:  
 
Phone-H:      Phone W:      Phone-M: 
 
E-Mail:  
Cruise Cabin Options    (Click the drop down arrow & select your Cruise Category)
CAT 4    $425.00 *    Cabin Without Window     
CAT 6    $495.00 *    Cabin With Window
CAT 8    $615.00 *    Cabin With Balcony
 *   Taxes & Fees not included       
Third Person In Cabin:
Last Name:            First Name:         Date of Birth:           
 
Address:      APT#: 
 
City:          ST:      ZIP:  
 
Phone-H:      Phone W:      Phone-M: 
 
E-Mail:  
Cruise Cabin Options    (Click the drop down arrow & select your Cruise Category)
CAT 4    $425.00 *    Cabin Without Window     
CAT 6    $495.00 *    Cabin With Window
CAT 8    $615.00 *    Cabin With Balcony
 *   Taxes & Fees not included
Fourth Person In Cabin:  
Last Name:            First Name:         Date of Birth:           
 
Address:      APT#: 
 
City:          ST:      ZIP:  
 
Phone-H:      Phone W:      Phone-M: 
 
E-Mail:  
Cruise Cabin Options  (Click the drop down arrow & select your Cruise Category)
CAT 4    $425.00 *    Cabin Without Window     
CAT 6    $495.00 *    Cabin With Window
CAT 8    $615.00 *    Cabin With Balcony
*   Taxes & Fees not included      
 
            
When you press submit, we will receive a copy of the information and so will you.  At that point please proceed to our web site (Click Here) if you want to pay by Visa, Master Card or Discover.  If you desire to pay by check, send the check along with a copy of the form to the following address:
Straight Company Cruz Desk
36840 Edgewater Street
 High Point, NC  27265

For Help with the registration process, please call us at 336-887-4277

 

  To Book call us @ 336-887-1485, email jharris115@triad.rr.com.com
 

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Revised Copyright © 2006 Straight Company