EmailMe Form - Virgin Voyages Cruise

EmailMeForm

#1 TRAVELER: Name as it appears on your Government ID: *
First Last
#1 TRAVELER: Date of Birth: *
MM / DD / YYYY
#1 TRAVELER: Your Email: *
#1 TRAVELER: Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
#1 TRAVELER: Phone *
### - ### - ####
#1 TRAVELER: Are you or anyone in your cabin an active armed forces member or first responders? *
Yes
No
#1 TRAVELER: Are all guests traveling U.S. citizens? *
Yes
No
#1 TRAVELER: T-Shirt Size (Unisex) *
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
#2 TRAVELER:
#2 TRAVELER: Name as it appears on your Government ID: *
First Last
#2 TRAVELER: Date of Birth: *
MM / DD / YYYY
#2 TRAVELER: Your Email: *
#2 TRAVELER: T-Shirt Size (Unisex) *
#2 TRAVELER: Phone *
### - ### - ####
#2 TRAVELER: Are you or anyone in your cabin an active armed forces member or first responders? *
Yes
No
#2 TRAVELER: Are all guests traveling U.S. citizens? *
Yes
No
#2 TRAVELER: Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

(only if different than #1 TRAVELER)
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TRAVEL DATES SUGGESTIONS:
When are you looking to cruise? *
2024:
....Resilient Caribbean Holidays (DEC 21-28, 2024)
2025:
....Eastern Antilles (JAN 11-19, 2025)
....Dominican Daze (JAN 17-22, 2025)
....Fire & Sunser Soirees (Jun 25-29, 2025)
....Mayan Sol (Jun 15-20) Girls Group Trip
2026
...Rome, Mykonos & the Amalfi Coast (May 10-17, 2026)
....Italin Vistas to Spanish Sunsets (Jun 21-28, 2026)
.
****NEED HELP DECIDING - click below:****
- Caribbean Destination - Different Date
- Europe Destination - Different Date
- Trasatlantic Voyage Destination - Different Date
Indicate your travel dates below:
(if a different date include it here)
Add your cruise destinations?
(where would you like to go)
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Cabin/Stateroom Count: *
How many mates are in your cabin?
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
OTHER CABIN MATES: (include all that will be sharing this cabin)

ADD: Full name/DOB/Email address and Tshirt Size

Name #3:

Name #4:

Name #5:

ADD: Full name/DOB/Email address and Tshirt Size
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
VACATION/CRUISE (A LA CART) ADDITIONS:
Please check the vacation package you would like
(check all that applies). *
Cruise Only
Flights
Pre hotel stay
Post hotel stay
Transportation (to/from airport)
Other
(check all that applies)
Interested in (ADD-ON FEATURE) A SPLASH OF ROMANCE? *
Yes
No
(Ask Me Later)

INCLUDES:
- Priority Check-in & Boarding
- An exclusive wristband in addition to The Band so our Crew knows who to surprise and delight
- Daily curated cold-pressed juices at the Gym & Tonic Bar each morning
- 3-Hour Thermal Spa Pass per Sailor
- A Shake for Champagne (charge removed from folio at the end of the sailing)
- Exclusive Sail Away Hour
- Aphrodisiac bites to keep the romance flowings
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Cabin/Stateroom Type: *
MEGA Rockstar ($$$$$)
Rockstar ($$$$)
XL Sea Terrace ($$$)
Sea View ($$)
Sea Terrace ($$$)
Insider($)
Solo Insider (4)
Based on availability.
STATEROOM/CABIN LOCATION? *
Noise
Motion
Smell
Please just select the one you are most sensitive to. This will make sure to pick the right cabin for your needs.
Does anyone in the stateroom/cabin need ADA accommodations-accessible room? *
Yes
No
Use this area to list any health concerns: *
Please specify any dietary preferences or food restrictions: *
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Are you celebrating a special occasion? *
(Honeymoon, Birthday, Anniversary, etc.)
Emergency Contact Information? *
First and Last Name, contact number and email address
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
TRAVEL DETAILS:
Do you need Airfare? *
YES
NO
Home airfare choices: *

Location #1

Location #2

Location #3
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Do you need transportation to/from airport: *
YES
NO
TRANSFERS TO/FROM THE AIRPORT TYPE: *
Shared transfers
Private transfers (just your party)
Luxury Private
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
EXCURSION INTEREST *
Yes, hook me up
Nope
Maybe, send me something
What is on your excursion bucketlist?
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
How did you hear about us? *
Friend/Family Member
Internet/Facebook/IG
Google
Other
*

Name of the person who referred you?

How do you normally book vacations?
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
How soon are you looking to pay your deposit to secure your vacation? *
Within 48 hours
Within 1 week
Within 2 weeks
Within 1 month
Within 3 months
Within 6 months
(debit/card information below)
Interested In the UpLift Program? *
Yes
No
(book now and pay later)
If NO, move to credit/debit card information below.
Does everyone traveling have a US Passport? *
Yes
No
Domestic travel, not required
BEST WAY TO COMMUNICATE *
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
CREDIT CARD INFORMATION & AUTHORIZATION:
Credit Card

Card Number

Protected in vault Data collected via fields that have our security seal are encrypted and stored with the highest global security standard — PCI compliance. Your data is absolutely safe in Vault.
Changes Made Due To Client
Yes I Understand AND Agree;
I understand that any changes to my reservation after deposit has been applied will incur a $50 penalty per request. i.e. Name, Add, Remove, Upgrade Room, Replace, etc.
Cancellation Penalty
Yes I Understand AND Agree;
I UNDERSTAND THAT I WILL BE CHARGED A $50 PER PERSON FEE IF I CANCEL. PLEASE CHECK THE BOX THAT YOU UNDERSTAND AND YOU GIVE LEGNA TRAVEL AGENCY PERMISSION TO CHARGE YOUR CARD ON FILE $50 PP UPON CANCELLING YOUR BOOKING. IN ADDITION TO A $50 INSUFFICIENT FUND FEE FOR ANY RETURNED MONEY ORDER, CASHIERS CHECK AND OR CREDIT /DEBIT CARD.
Insufficient Funds Policy:
Yes I Understand AND Agree;
I UNDERSTAND THAT I WILL BE CHARGED A $50 PER PERSON FEE FOR INSUFFICIENT FUNDS FOR ANY RETURNED MONEY ORDER, CASHIERS CHECK AND OR CREDIT /DEBIT CARD PROCESSED BY LEGNA TRAVEL. PLEASE CHECK THE BOX THAT YOU UNDERSTAND AND YOU GIVE LEGNA TRAVEL AGENCY PERMISSION TO CHARGE YOUR CARD ON FILE $50 PP UPON CANCELLING YOUR BOOKING. IN ADDITION TO A $50 INSUFFICIENT FUND FEE FOR ANY RETURNED MONEY ORDER, CASHIERS CHECK AND OR CREDIT /DEBIT CARD.
Legna Travel Agency (“LTA”) acts as a sales agent for any airline, hotel, car-rental company, tour operator, cruise line, or other service provider named in your itinerary (“Suppliers”). LTA is not responsible for acts or omissions of the Suppliers or their failure to provide services or adhere to their own schedules.

LTA assumes no responsibility for and shall not be liable for any refund, personal injury, property damage, death, or other loss, accident, delay, inconvenience, or irregularity which may be caused by: (1) any defaults, wrongful or negligent acts, or omissions of the Suppliers; (2) any defect in or failure of any vehicle, craft, equipment, or instrumentality owned, operated, or otherwise used or provided by the Suppliers; (3) any wrongful or negligent acts or omissions on the part of any other party not under LTA'S control; and (4) any Supplier price drop after your travel arrangements have been confirmed, paid in full, or ticketed. You hereby release LTA from all claims arising out of any problem covered in this paragraph.

Travel arrangements involving airline and cruise components are subject to supplemental price increases that may be imposed by the supplier and/or government after you have completed your purchase. You hereby consent to any such price increases and authorize your credit or debit card to be used for them. Suppliers have their own contracts covering cancellation penalties and other terms and conditions, and you may be bound by those contracts regardless of whether you receive notice of their terms. By signing below, you are consenting to those terms and conditions.

LTA has no special knowledge regarding the financial condition of the Suppliers, unsafe conditions, health hazards, weather hazards, or climate extremes at locations to which you may travel.

For information concerning possible dangers at destinations, LTA recommends contacting the Travel Warnings Section of the U.S. State Department at (202) 647-5225 or www.travel.state.gov. For medical information, LTA recommends contacting the Centers for Disease Control at (877) FYI-TRIP or www.cdc.gov/travel. You assume full and complete responsibility for checking and verifying any and all passport, visa, vaccination, or other entry requirements of your destination(s), and all conditions regarding health, safety, security, political stability, and labor or civil unrest at such destination(s).

I hereby release LTA from all claims arising out of any problem mentioned including death. You agree that the courts in Stafford County will be the exclusive jurisdiction for all claims brought by you by LTA, and you hereby submit to the personal jurisdiction of those courts.
Yes I Understand AND Agree;
I agree to the charges and terms of the trip. I am aware that deposits are nonrefundable and nontransferrable, and credits will not be issued.

I agree not to dispute or attempt to chargeback any payments or charges applied towards my trip.

I understand that additional Terms and Conditions from the Suppliers apply as well.
Yes I Agree.
I understand this is a disclosure of business practices and a permissive credit/debit card payment agreement to purchase travel services. I agree that Legna Travel Agency may make payments directly to selected travel suppliers on my behalf; payments are prorated and not to exceed the total sum of approved charges. I understand Debit Cards often impose “Daily Charge Limits,” multiple payments may be needed to complete the total balance due, for which you will be notified if the situation occurs.
Yes I Agree.
Signature
Clear
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UPLOADING PASSPORTS:
#1 - Upload Passport Here:
#2 - Upload Passport Here:
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Thank you for completing the Interest form. Someone will follow up with you shortly.

Thank you, Legna Travel
Is there anything you'd like to add that I missed?

Name #3:
Name #4:
Name #5:

Location #1
Location #2
Location #3

Name of the person who referred you?
How do you normally book vacations?

Legna Travel
P.O. Box 5691 * Fredericksburg, VA 22403
O: 540.699.0992 * E: info@legnatravel.com * W: legnatravel.com

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