Name as it is on legal ID ________________________ Femme Name ______________

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

Pre or post cruise hotel package in Barcelona (hotel and rates to be announced later) _____ yes _____ no

Address __________________________________________

Phone (home) _____________ (work) ______________ (fax) ______________ (email) _______________

Date of birth ____________ Age ____ Country of citizenship _________________

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

Address __________________________________________

Country of citizenship _____________________ Femme name: _________________

Special occasions to be celebrated on board ________________________

Sail date 9/18/2004 Name of ship RCCL Splendor of the Seas

Check type of cabin per person: ____ inside ($644.00 + $165.55 taxes) ____ outside with window ($844.00 + $165.55 taxes) ____ Balcony ($1144.00 + $165.55 taxes) Passports are required for this cruise. Dual TG ID required.

Interested in travel insurance? ___ yes ___ no - ($99.00 + per person)

Credit cards are required 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 Thorne

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: ________________________________________________________________________________________________________________________________________________________________