Sign Up Form for Crop-a-licious Cruise

Crop-a-licious Sign Up Form

This Sign-Up Form is to be Filled Out By Each Person in the Cabin. Please take your time and fill out the form with accuracy.

**Please complete the name fields as they appear on your passport.

Please note that all fields followed by an asterisk must be filled in.

First Name*
First Name*

Last Name*
Last Name*

Street Address*
Street Address*

City*
City*

State/Prov*
State/Prov*

Zip/Postal Code*
Zip/Postal Code*

Country*
Country*

Home Phone*
Home Phone*

E-mail Address*
E-mail Address*

Middle Name (Only if on Passport, otherwise type "NONE")*
Middle Name (Only if on Passport, otherwise type "NONE")*

Date of Birth Day/Month/Year*
Date of Birth Day/Month/Year*

Citizenship*
Citizenship*

Passport Number*
Passport Number*

Passenger Type*
Passenger Type*

	Scrapbooker
	Non Scrapbooker

If Scrapbooker, Indicate Your Level

	Beginner
	Intermediate
	Expert

What Cabin Type do You Wish to Have?*
What Cabin Type do You Wish to Have?*

	Balcony - SOLD OUT
	Oceanview
	Inside

Bedding Preference*
Bedding Preference*

	2 Beds together
	2 Beds apart

Name of Person You are Sharing Cabin With?*
Name of Person You are Sharing Cabin With?*

Do You Have Any Food Allegies That We Need to Inform NCL of?

If You Have Cruised With NCL Before, Enter Your Latitudes Number

How Will You be Paying for this Trip?*
How Will You be Paying for this Trip?*

	Credit Card (5% Charge will be added to cover Paypal Fees)
	Cheque

When is a Good Time to Contact You?

You Can Earn $50 Toward the Cost of Your Cabin by Getting Your Scrapbooking Friends to Get Their Own Cabin on This Cruise. Are There any Names That May Sign Up and We Need to Know You Referred Them?

Have any Questions You Wish to Ask?

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