Cool 101.3 Registration Form

To request a quote or more information, complete the contact information below and click Send. To help us serve you better with more detailed information, consider completing the optional questions as well.

Your contact information
* Passenger’s Legal Name
*Date Of Birth
Passenger 2 Name
Date Of Birth
Passenger 3 Name
Date Of Birth
Passenger 4 Name
Date Of Birth
* Email Address
* Contact Phone
Cell Phone
Address
City
State/Province
Zip/Postal Code
Best time to call
Guarantee	4B Inside Guarantee 6B Oceanview Guarantee 8B Balcony Guarantee
Dining requested
Any Special Occasions or needs
CCL Past Guest Membershipnumber ( if applicable)
Deposit: CC Number
Exp
Sec.Code
Do you want insurance?	Yes No
	We will quote the price since rate is based on age and total cost of your trip – if you have pre-existing conditions, insurance must be purchased within 14 days of first trip deposit in order to be covered for pre-existing, if no pre-existing, insurance can be purchased until final payment.
Can we email specials?	Yes, I would like to receive yourspecilas
Deposit Information for double occupancy guarantee cabins: (Guarantee cabins mean you are guaranteed the category booked but you will not know the cabin number until documents are printed after final payment – chance of upgrade)
>> >> >>	$50.00 per person deposit by 3/31/10 $200.00 per person deposit by 8/19/10 Final payment due by 10/26/10
If you want to make a cabin assignment, the deposit amount is $250.00 per person.
PASSPORTS REQUIRED FOR TRAVEL - $50.00 per person cancellation fee if booking is cancelled after deposit is made.
Questions & Comments