Magellan Travel Services Cruise and Travel Specialists
The Woodlands, TX
Mary Roth Staff Training Programs Presents..........
To register for this fun-filled CE cruise event please complete this form
on-line,
print and fax to
1.775.522.2520 or scan and email to
info@magellantrips.com.
Inside Cabin - $476.63 per
person NO CE
Ocean View Cabin - $537.63
per person NO CE
NOTE: All cabin prices are for "double Occupancy".
WE'VE INCLUDED ALL THIS IN THE
PRICE! cruise,
port charges, taxes,
travel insurance, gratuities, a cocktail party, a $50 per cabin shipboard credit,
PLUS 10 credit hours of Texas approved
Continuing Education! (2 hours of Ethics included)
Please visit www.maryroth.com for additional information.
IMPORTANT: FIRST AND LAST NAME MUST
MATCH YOUR PASSPORT!
First Name:
Last Name:
Mr.
Mrs.
Ms.
Address:
City:
State:
Zip:
Email:
Home Phone:
Cell:
Date of Birth:
State/Country of Birth:
Gender:
Male Female:
Country of Residence:
Citizenship:
Passport Number:
Issuing
Country:
Date Issued:
Expiration Date:
Name of Person Sharing Cabin:
Are you celebrating a birthday or anniversary during our cruise? Yes
No
If yes, what celebration?
EMERGENCY CONTACT INFORMATION Contact Name:
Contact
Phone:
