Concerts At Sea 50's & 60's Music Cruise
January 17-24, 2009

 CONCERTS AT SEA™
 208 388-3000  |  866-365-3437 | EMAIL
 If you would like assistance, please contact us at 208 388-3000 | 866-365-3437
Contact Information

LEGAL Name:
(as it appears on passport )
Note:  All passengers must travel with a valid U.S. Passport.  Non U.S. citizens are responsible for determining in advance, valid passport and visa documentation (if required) for departure and re-entry into the United States.
Phone Number: Cell: Work: Home:
Mail Address 1: 
Mail Address 2: 
City, State, Zip:
E-Mail Address: 
Emergency Contact Name and Phone:
Travel Information
Note: Please provide legal names, birthdates, and gender of all passengers occupying the same cabin accommodations.

Legal Name: All passenger names listed must be as it appears on identification.

 Birthday Format:
MM/DD/YYYY		 Gender:
M or F

Legal Name 1: * Birthday 1 * Gender (M/F) *

Legal Name 2: * Birthday 2 * Gender (M/F) *

Legal Name 3: * Birthday 3 * Gender (M/F) *

Legal Name 4: * Birthday 4 * Gender (M/F) * 

MSC Orchestra Category Request:
Category 1 Inside Cabin Category 2 Inside Cabin
Category 3 Inside Cabin Category 4 Oceanview Cabin
Category 5 Oceanview Cabin Obstructed View Category 6 Oceanview Cabin with Balcony
Category 7 Oceanview Cabin with Balcony Category 8 Oceanview Cabin with Balcony
Category 9 Oceanview Cabin with Balcony Category 10 Oceanview Cabin with Balcony
Category 11 Oceanview Cabin with Balcony Category 12 Suite (on request only)

Specific cabin request:

What size Commemorative T-Shirt would you like to order?
Passenger 1 T-Shirt Size
Passenger 2 T-Shirt Size
Passenger 3 T-Shirt Size
Passenger 4 T-Shirt Size

Flight  Information
Frequent Flyer Numbers:  Please type airline and number as follows: UA 00000000000 (ex.)
Airline Frequent Flyer # Passenger 1:
Airline Frequent Flyer # Passenger 2:
Would you like an agent to contact you regarding Travel Insurance?
 Yes  No

Would you like Concerts At Sea to check into flight arrangements for you?
 Departure City:      

Do you have an airline preference?
Airline Choice #1:  
Airline Choice #2:  
Airline Choice #3:
 
Would you like to add-on Preferred Seating into all Headliner Shows at a cost of $200.00 per person?
 Yes  No
 
Credit Card  Information

Please be advised:  A credit card is required to guarantee your requested Concerts At Sea cruise.  By submitting this form, you are authorizing your credit card to be charged the deposit amount of $500.00 per person.  If you do not submit a credit card number, a cabin will not be confirmed for you.  Please call 1-866-365-3437 for additional information.

Name as it appears on card: 
                       Credit Card:
                  Expiration Date:
                    Security code:

Billing address if different than above:
Billing Address:
City, State, Zip:


Will you celebrate a special occasion while on this incentive program such as a birthday or anniversary?
 (Please fill out text box below to advise)

Are there any medical conditions Concerts At Sea should know about?
 (Please fill out text box below to advise)

Do you have any specials needs, requests, or comments?

Will you be deviating from the cruise travel dates? If so, please indicate pre or post deviation dates?

Would you like to Dine with anyone specific? Please advise the name of the party you would like to dine with.

How would you like us to contact you?
Phone Call E-Mail   Either, No preference