Cruise Booking Form - Cruise Designs Travel

How many travelers are you registering?(Required)

Traveler #1 - Primary Contact

Please provide information for the primary contact. You'll be able to add additional travelers below (make sure you select # of travelers above).

Traveler #1 - Email(Required)

Enter name to use for onboard name tag:(Required)

Traveler #1 - Date of Birth(Required)

Traveler #1 - Phone #(Required)

Traveler #1 - Cruise Loyalty # (if applicable)

Enter your loyalty account for points.

Traveler #1 - Are You a Repeat Traveler?(Required)

How many HIV Cruise Retreats, or trips with us, have you been on?

Traveler #2

Please provide information for the second person travelling with you.

Traveler #2 - Email(Required)

Enter name to use for onboard name tag:(Required)

Traveler #2 - Date of Birth(Required)

Traveler #2 - Phone #(Required)

Traveler #2 - Cruise Loyalty # (if applicable)

Enter your loyalty account for points.

Traveler #2 - Are You a Repeat Traveler?(Required)

How many HIV Cruise Retreats, or trips with us, have you been on?

Traveler #3

Please provide information for the third person travelling with you.

Traveler #3 - Email(Required)

Enter name to use for onboard name tag:(Required)

Traveler #3 - Date of Birth(Required)

Traveler #3 - Phone #(Required)

Traveler #3 - Cruise Loyalty # (if applicable)

Enter your loyalty account for points.

Traveler #3 - Are You a Repeat Traveler?(Required)

How many HIV Cruise Retreats, or trips with us, have you been on?

Cabin Information

Please select your cabin preferences below. Prices reflect single / double occupancy. Reservation forms must be submitted, along with final payment 90 days prior to trip departure.

Would you like to be matched with cabinmate?(Required)

Cabin Preferences

Please review the options below and indicate your preference(s).

Billing Information

Please provide primary billing information. You can select "Add Additional Payment Method" below to enter add a different form of payment for a cabinmate.

Primary - Card Number(Required)

Primary - Expiration Date(Required)

Primary - Security Code(Required)

Do you need to enter an additional payment method?

Additional Payment Method

Please provide secondary billing information.

Additional Billing - Card Number(Required)

Additional Billing - Expiration Date(Required)

Additional Billing - Security Code(Required)

Trip Insurance

Trip insurance is strongly recommended. It covers various cancellations, trip interruptions, medical expenses / evacuation, trip delays, and baggage insurance. The cost of insurance will vary based upon the cabin and perks you select. Details will be provided on your confirmation invoice.

Do you want Trip Insurance?(Required)

I have read, understand, and accept the information regarding cancellations and insurance.(Required)

Electronic Signature(Required)

Final payment is due 90 days prior to trip date. Your primary payment method will automatically be charged for final payment unless notified of a different form of payment prior to the final payment data.

Comments or Questions?