Name as it is on legal ID ________________________ Femme Name ______________

Book air with cruise line? ____ yes ____ no - give air city ________________

Pre-cruise hotel including transportation to ship at Holiday Inn Crown Plaza Miami Aiport and breakfast is $114 per room (for two) _____ yes _____ no If you are only staying the night before the cruise, call 1-800-2CROWNE and book the 22nd for the Dignity Group. If you are staying more than one night, Call the hotel directly at 1-800-428-9582 and ask for Roberto Diago. Tell him you are with Dignity Group.

Address __________________________________________

Phone _____________ (home) ______________ (business) fax ______________ email ___________________

Date of birth ____________ Age ____ Country of citizenship _________________

Other passenger in cabin: Name: ____________________________ Birth Date _______ Age ____

Address __________________________________________

Country of citizenship _____________________

Special occasions to be celebrated on board ________________________

Sail date 2/23/2003 Name of ship Carnival Victory

Check type of cabin: ____ inside ($530 + $166.34 port taxes) ____ outside with window ($690 + $166.34 port taxes) ____ Balcony ($890 + $166.34 port taxes)

Interested in insurance? ___ yes ___ no - Travel insurance is highly recommended based on the tragedy of 9/11/02.

(Credit cards are recommended and charges will appear as Absolute Best Cruises - if you have concerns about confidentiality or do not want to use a credit card you may make checks payable and mail to Peggy Rudd

Type of Credit Card _________ Exp date _______ Credit card # ___________________

Credit card address for billing if different from the address above: ___________________________________________________

Name as it appears on the card ________________________________

Comments and instructions to Dignity Cruises:

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