Mary Roth CE @ Sea Registration Form

         MARY ROTH
             Staff Training Programs                      Arlington, TX

CE @ Sea, 2008! Cruise Registration Form

About CE @ Sea

About CE @ Sea

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To register, please complete the form below and fax to: 1-(775) 522-2520

Passenger Information:

           NOTE: FIRST AND LAST NAME MUST MATCH NAME ON YOUR PASSPORT!

Last Name:   First Name: M.I.

Email Address:

Phone Numbers:       Home: Cell:

Date of Birth:      Male: Female:    Citizenship:

Country of Residence:        State/Province/Country of Birth:

Passport No.: Issuing Country: Issuing Authority:

Issue Date: Expiration Date:

Address:

City: State: Zip Code:

Past Carnival Guest Number:
Celebrating a Special Occasion during our cruise? If so, please let us know.

Name of person sharing cabin: Last: First:
Check here if you would like a cabinmate assigned.

I will need accommodations in Galveston on December 3rd.
I will need accommodations in Galveston on December 8th.
(Local hotel choices and pricing will be sent by email).

EMERGENCY CONTACT INFORMATION

Name of Contact: Contact Phone Number:

CREDIT/DEBIT CARD INFORMATION

To submit your information to us by this online form, simply complete the credit/debit card
information requested below, print the form and fax to 1-(775) 522-2520. Magellan Travel
will confirm receipt of your payment by email. If you prefer not to fax your credit card
information, please call Larry or Debbie at the number listed at the end of this document.

VISA MasterCard (Security Code) (3 digits on back of card):
American Express (Security Code) (4 digits on front of card):

Card Number: Expiration Date:

Payment Requirements

Billing Address:

City: State: Zip:

Cardholder's Name: Last: First: M.I.

Payment Requirements: Carnival requires a deposit of $75 per person to secure cabin
accommodations. Deposit is due with submission of this registration form.
August 2, 2008: $100 payment due to Carnival Cruise Lines.
October 2, 2008 Remaining balance is due to Carnival Cruise Lines/Mary Roth.

I hereby authorize Carnival Cruise Lines to charge my credit/debit card $75. for my
deposit for the Mary Roth CE @ Sea Cruise aboard Carnival Ecstasy departing
Galveston, TX December 4, 2008.

Signature: X ___________________________________________________________________


Please check one of the following options for your August and October payments.

I authorize Carnival Cruise Lines/Mary Roth to charge my credit/debit card listed
on this form for my August and October payments.
(Magellan Travel will notify you of the up-coming charge by email one week
before payment is due).

I will provide a different credit/debit card to be used for my August and October payments.
(Magellan Travel will contact you 2 weeks before payment is due to obtain credit/debit
card information).

Cancellation and Refund Policies: If you cancel, Carnival will asses the following charges.
(Because travel insurance is included in the price of this cruise, you may be reimbursed
if you cancel for a "covered" reason).

     • Until October 2nd --- Full Refund
     • Oct. 3rd --- Nov. 3rd --- $175 is non-refundable
     • Nov. 4th --- Nov. 25th --- 50% of total fare is charged
     • Nov. 26th --- Dec. 4th --- No Refund

IMPORTANT: Required Travel Documents:

Carnival STRONGLY recommends that all passengers have a passport. Other documents
(i.e. Original Certified Birth Certificate and Drivers License) may not be accepted at check-in.


TDI Provider # 2242

Extremely Important: If you arrive without proper documentation, you will not be allowed to board the ship!
No refund will be granted to anyone arriving on the day of departure without the the proper documents.

Please call Debbie @ 832-693-2126 or Larry @ 832-693-6666 for any questions you may have.

Please verify all information on this form is correct prior to faxing to Magellan Travel. Thank You!