FAYE MIDDLETON 50TH BIRTHDAY CELEBRATION AT SEA 7-25-09
GROUP REGISTRATION FORM

Complete and return with your deposit to Cason Travel & Tours, 4610 Cliff Breeze Dr., North Las Vegas, NV. 89081. If you have any questions, please call our office at (702) 642-2628 or (800) 899-7690 FAX (702) 642-2570. casontravelandtours1@cox.net or www.casontravelandtours.com                                                        Roommate

1.Legal Name ____________________                 ____________________________
(As it appears on your picture ID)         

2. Date of birth ____________________                 ___________________________

3. Street address_____________________               __________________________

4. City/State/Zip ______________________        _________________________

5. Home Phone_________________                     ___________________________

6. Work Phone________________               ________________________________

7. Cellular/Email________________            _________________________
8.In case of accident or emergency, person to notify at home:
Name __________________ Relationship _______________ Phone ____________ 9. Are you a ( ) Smoker ( ) Non-Smoker 10. Will you be celebrating a birthday or anniversary on this cruise? If so, list the date and occasion. ________________________
11. I would like to share a dining table with _______________________________________ (friends, family, etc.)
12. Cabin Selection: Inside 4a ___ Oceanview 6a ____   Balcony cabin  _____ Penthouse Suite _____
single __ double ____ triple ____ quad ____

13. I ____________________________________ hereby authorize Cason Travel & Tours to charge my credit Card #______________________ EXP _______ Back _______
14. Credit card holder name ____________________ Address __________________
15.Credit Card Holder Signature ____________________________________ Amount to charge $___________ For cruise and air payments for myself and/or_____________________________________________________ (Full name(s) of guest(s) if other than the cardholder) aboard the Carnival Pride 7-25-09.
Booking #_________________________________ •.
16. Trip cancellation Insurance = $129  Yes_________ No___________
17. A valid passport is required for the Cruise.
18.I understand that in the event of cancellation, penalties will be assessed: $25 of deposit is non-refundable.