Testing Page


    ATTENTION: ALL FIELDS MUST BE COMPLETED

    NAME INFORMATION

    Last Name: Passenger 1 Passenger 2 Passenger 3 Passenger 4

    First Name: Passenger 1 Passenger 2 Passenger 3 Passenger 4

    Middle Name: Passenger 1 Passenger 2 Passenger 3 Passenger 4

    Personal Title: Passenger 1 Passenger 2 Passenger 3 Passenger 4

    Your type of travel document: Passenger 1 Passenger 2 Passenger 3 Passenger 4


    First, middle and last name MUST match the travel document you picked above!

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    ADDRESS INFORMATION

    Primary Address: Passenger 1 Passenger 2 Passenger 3 Passenger 4

    Primary City: Passenger 1 Passenger 2 Passenger 3 Passenger 4

    Primary State: Passenger 1 Passenger 2 Passenger 3 Passenger 4

    Primary Zip/Postal Code: Passenger 1 Passenger 2: Passenger 3: Passenger 4:

    Video Phone Number: Passenger 1 Passenger 2 Passenger 3 Passenger 4

    Fax Number: Passenger 1 Passenger 2 Passenger 3 Passenger 4
    If you do not have a fax number, please type 000-000-0000

    Email Address: Passenger 1 Passenger 2 Passenger 3 Passenger 4

    Citizenship: Passenger 1 Passenger 2 Passenger 3 Passenger 4

    Birth Date: Passenger 1 Passenger 2 Passenger 3 Passenger 4

    Country of Birth: Passenger 1 Passenger 2 Passenger 3 Passenger 4

    Passport Expiration Date: Passenger 1 Passenger 2 Passenger 3 Passenger 4

    .

    EMERGENCY CONTACT INFORMATION

    Emergency Contact's Last Name: Passenger 1 Passenger 2 Passenger 3 Passenger 4

    Emergency Contact's First Name: Passenger 1 Passenger 2 Passenger 3 Passenger 4

    Emergency Contact's Phone Number: Passenger 1 Passenger 2 Passenger 3 Passenger 4

    Emergency Contact's Email: Passenger 1 Passenger 2 Passenger 3 Passenger 4

    .

    ADDITIONAL INFORMATION

    Are you celebrating a special event?   Passenger 1 Passenger 2 Passenger 3 Passenger 4

    Do you want the beds together or apart?  

    If you have a Crown & Anchor number, enter here. If not, type nine zeros: Passenger 1 Passenger 2: Passenger 3: Passenger 4:

    What category would you like to book?

               

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    AIR FLIGHT INFORMATION

    If you would like to book your air flight through Royal Caribbean Cruise Line, please type the name of your departure airport.
        Passenger 1:     Passenger 2: Passenger 3: Passenger 4:
            ( If you're not booking through RCCL, please type, "None" )

    If you are booking your air flight with RCCL, what seats do you prefer? Passenger 1:   Passenger 2:   Passenger 3:   Passenger 4:

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    REQUIRED READING

    The following link will open a new window to Royal Caribbean's Travel Protection Program. Please read, then switch back to this window and continue: Click here
    I herewith confirm that I reviewed the Royal Caribbean Travel Protection Program description. Yes
    Please make a selection from below:

    The following link will open a new window to the Customer Disclosure Notice. Please read, then switch back to this window and continue: Click here
    I confirm that I reviewed the Consumer Disclosure Notice: Yes

    I authorize Kerstin’s Deaf Travel to use any photos taken before, during or after the tour on the website www.kerstinsdeaftravel.com, in the travel agency’s newsletter or in similar publications produced by Kerstin’s Deaf Travel. YesNo

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    PAYMENT INFORMATION

    Credit Card Holder's Name:

    Credit Card Number (only type the last 4 numbers:

    Expiration Date (type as shown):

    Security Code:

    Credit Card Type:

    I authorize Kerstin's Deaf Travel and Royal Caribbean to charge payments for the Bahamas Cruise to my credit card shown above: YesNo

    Please type the letters and/or numbers shown in the box: captcha

    NOTE: Within the hour you should receive an automated email verifying your information was submitted. If after one day (and checking your spam folder) you do not receive the response, contact our agency via email kerstin@kerstinstravel.com or via phone: 561-452-5480. Thank you!