Sailing the High Seas with POS

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SAILING THE HIGH SEAS WITH POS

TO THE MEDITERRANEAN SEA IN 2007

Cruise Application
Name:_____________________________

Address___________________________

C/S/Z:____________________________

Phone:____________________________

Email:____________________________

Cabin:__Interior __Oceanview

__Balcony __Suite

Occupancy: __Double __Tripe __Quad

Roommate(s) name:__________________
___________________________________

Roommate needed: __Yes __No

Emergency Contact Information:
Name:_____________________________

Number:___________________________

Special Needs:__Yes __No

Describe:___________________________
___________________________________

Air Reservation needed: __Yes __No
Hotel Reservation needed: __Yes __No

Signature__________________________
Date:______________________________

Print this page and fax to Darrell K. Sims at 504-324-0947