EmailMe Form - Cruise Reservation & Payment Form

Royal Caribbean's Harmony of The Seas

Today's Date *

MM / DD / YYYY

Name of CRUISE SHIP Desired: *

Cabin #one Category Desired: *

Cabin #two Category Desired:

Special Request:

Connecting Cabins

Adjoining Cabin

HANDICAP Accessible Cabin

Cabin Near Stairs or Elevator

Please enter the cost of the 1 st cabin.
Total price for the cabin given in your price quote. *

$ Dollars . Cents

Please enter the cost of the 2nd cabin.
Total price for the cabin given in your price quote.

$ Dollars . Cents

Departure Date Of Cruise: *

MM / DD / YYYY

Return Date : *

MM / DD / YYYY

NON-REFUNDALE DEPOSIT AGREEMENT *

THIS IS A NON-REFUNDALE DEPOSIT

I AGREE THAT MY DEPOSIT IS NON-REFUNDABLE

A Passport (or) a Certified Birth Certificate is required to cruise Internationally. Passports expiration date must be at least 6 months after your return date.

Reminder, If you taking a cruise and do not have a Passport or A Certified Birth Certificate along with a state ID or Driver License, You may be denied boarding and/or assessed additional fees.

A Passport is required to fly Internationally.

It is the TRAVELERS responsibility to complete this form fully and accurately.
You the Traveler confirm the accuracy of your name and date of birth listed above. You acknowledge if the information is incorrect, You may be denied boarding and/or assessed additional fees. Passports are recommended.

How many people in the 1st cabin? *

1

2

3

4

How many people in the 2nd cabin?

1

2

3

4

1st Travelers Name- Exactly as It Appears on Your Passport or Enhanced Drivers License. *

First Last

Date of Birth* *

MM / DD / YYYY

Please Check One: *

FEMALE

MALE

Country Of Citizenship *

USA

OTHER

State Of Residence. *

Cell Phone Number *

### - ### - ####

Email Address *

Cruise Lines Past Guest or Rewards Number

Emergency Contact Phone Number *

### - ### - ####

Emergency Contact Name *

First Last

2nd Travelers Name- Exactly as It Appears on Your Passport or Enhanced Drivers License.

If you have not received your passport as of booking your cruise, please enter your name as it appears on your state I.D. or your legal name.

First Last

Pleae Check All That Apply.

FEMALE

MALE

Date of Birth

MM / DD / YYYY

Country Of Citizenship*

USA

CANADA

State Of Residence.

Cell Phone Number

### - ### - ####

Email Address If you would like to receive an Email Confirmation.

Cruise Lines Past Guest or Rewards Number

Emergency Contact Phone Number

### - ### - ####

Emergency Contact Name

First Last

3rd Travelers Name- Exactly as It Appears on Your Passport or Enhanced Drivers License.

First Last

Date of Birth

MM / DD / YYYY

Check one

FEMALE

MALE

Country Of Citizenship*

USA

CANADA

State Of Residence.

Cell Phone Number

### - ### - ####

If you would like to receive an Email Confirmation.

Cruise Lines Past Guest or Rewards Number

4th Travelers Name- Exactly as It Appears on Your Passport or Enhanced Drivers License.

First Last

Date of Birth

MM / DD / YYYY

Pleae Check All That Apply.

FEMALE

MALE

Country Of Citizenship*

USA

CANADA

State Of Residence.

Email Address If you would like to receive an Email Confirmation.

Cell Phone Number

### - ### - ####

Cruise Lines Past Guest or Rewards Number

5th Travelers Name- Exactly as It Appears on Your Passport or or Enhanced Driver's License.

First Last

Date of Birth

MM / DD / YYYY

Pleae Check All That Apply.

FEMALE

MALE

Pleae Check All That Apply.

CHILD under 17

Country Of Citizenship*

USA

CANADA

Cell Phone Number

### - ### - ####

6th Travelers Name- Exactly as It Appears on Your Passport or or Enhanced Driver's License.

First Last

Date of Birth

MM / DD / YYYY

Pleae Check All That Apply.

FEMALE

MALE

Pleae Check All That Apply.

CHILD under 17

Country Of Citizenship*

USA

CANADA

Cell Phone Number

### - ### - ####

Cruise Line Rewards Number - Past Guest Number

TRAVEL PROTECTION INSURANCE:

Travel protection insurance is available at an addition cost and can be added to your cruise up to the Final Payment Due Date.

If you elect to purchase Travel Insurance It Is NON-REFUNDABLE:

The cost of your Cruise only Rate does not include: Flight-Transfers-Gratuities and Travel Insurance.

Amount Authorized To Be Charged *

$ Dollars . Cents

You Must Upload A Copy of the front of
Driver's License in order for me to charge to your credit card. *

If you are not traveling and are paying for this vacation for someone please upload a copy of the front of your credit card along with your drivers licence.

Name as It Appears on Your Credit Card *

First Middle Last

Credit Card Account Type: *

Visa

MasterCard

AMEX

Discover

CVV (3 digit number on back of Visa/MC, 4 digits on front of AMEX. *

Credit Card Billing Address *

Street Address City State / Province / Region Postal / Zip Code

By submitting this form you (the traveler) consent and agree to all terms and conditions listed below,

TRAVEL PROTECTION INSURANCE:
Dear Valued Travel Customer, travel protection insurance is available at an addition cost and can be added to your cruise up to the Final Payment Due Date.
If you elect to purchase Travel Insurance It Is NON-REFUNDABLE:
The total amount of Cruise only does not include: Flight-Transfers-Gratuities and Travel Insurance.

Terms and Conditions:

Charges are payable ONLY to the hotel, resort, tour operator, cruise line or other travel supplier designated by the above entity. You, the traveler certify that you are authorized to use this credit / debit card and that you are able to make charges using this credit / debit card . You the Traveler understand that in the event of cancellation all refunds due will go back to the original form of payment.
You, the Traveler will not dispute the payment with your credit card company as long as the transaction corresponds with the terms indicated above. This payment authorization is for the travel related services described above. By my submission of this form, you give authorization to My Escape Vacation LLC and the travel vendor being used to debit my credit / debit card for all amounts listed above ONLY. You the Traveler understand that all refunds go back to the original form of payment.
You, the traveler understand that if you elect to decline Travel Insurance you are responsible for any cancellation penalties and all out-of-pocket expenses that may occur. You, the Traveler will also make your own provisions in the event of an emergency while I'm away if I elected to forgo travel insurance. I also understand that the cost of travel insurance is not refundable.
You ,the traveler understand that passports are required for guests traveling internationally and to resorts in Mexico and the Caribbean also passports must be valid for up to six months at time of arrival to your travel destination.
DISCLAIMER OF LIABILITY - This travel agency, My Escape Vacation, is acting only as an agent for suppliers in selling travel related services, or in accepting reservations or bookings for services that are not directly supplied by this travel agency (such as air and ground transportation, hotel accommodations, meals, tours, cruises, etc.). This travel agency, My Escape Vacation therefore, shall not be responsibility for breach of contract or any intentional or careless actions or omissions on part of such suppliers, which result in any loss, damage, delay, or injury to you or your travel companions or group members. Unless the term "guaranteed" is specifically stated in writing on your ticket, invoice, or reservation itinerary, we do not guarantee any of such suppliers' rates, bookings, reservations, connections, scheduling, or handling of personal effects. This travel agency, My Escape Vacation LLC, shall not be responsible for any injuries, damages, or losses caused to any traveler in connection with terrorist activities, social, or labor unrest, mechanical or construction failures or difficulties, diseases, local laws, climatic conditions, criminal acts or abnormal conditions or developments, or any other actions, omissions, or conditions outside the travel agent's control. You, the Traveler assumes complete and full responsibility for, and hereby releases this travel agency, My Escape Vacation LLC from any duty of, checking and verifying any and all passport, visa, vaccination, or other entry requirements of each destination, and all safety or security conditions at such destinations, during the length of the proposed travel. For information concerning possible dangers at international destinations, contact the Travel Advisory Section of the U.S. State Department. For medical information, call the Public Health Service.. By embarking upon his/her travel, You the travelers voluntarily assumes all risks involved in such travel, whether expected or unexpected. You the Traveler, is hereby warned of such risks, and is advised to obtain appropriate insurance coverage against them. Traveler's retention of tickets, reservations, or bookings after issuance shall constitute a consent to the above, and an agreement on his/her part to convey the contents hereto to his/her travel companions or group members.

Thank You For Using My Escape Vacation *

I Accept all Terms and Conditions and I authorize the amount listed to charged to my credit card for travel related services.

Please Type Your Name Below.
This form authorizes Louise Evans /My Escape Vacation LLC to make charges to your credit card for travel related services. The purpose of the form is to protect you, the card holder, from fraudulent use of your credit card.
This is permission for a single transaction and does not provide authorization for any additional unrelated debits or credits to your account. *

Please Type Your Name Below.
A Passport (or) a Certified Birth Certificate is required to cruise Internationally. Passports expiration date must be at least 6 months after your return date.

Reminder, If you taking a cruise and do not have a Passport or A Certified Birth Certificate along with a state ID or Driver License, You may be denied boarding and/or assessed additional fees.

A Passport is required to fly to Cruise Internationally. *

Signature *

Clear

Name

First Last

It is the TRAVELERS responsibility to complete this form fully and accurately. You the Traveler confirm the accuracy of your name and date of birth listed above. You acknowledge if the information is incorrect, You may be denied boarding and/or assessed additional fees. Passports are recommended.

It is the TRAVELERS responsibility to complete this form fully and accurately.
You the Traveler confirm the accuracy of your name and date of birth listed above. You acknowledge if the information is incorrect, You may be denied boarding and/or assessed additional fees. Passports are recommended.