Captivating Rhine River Cruise February 25, 2024 - March 03, 2024 TRAVELERS MUST HAVE PROPER TRAVEL DOCUMENTS For international travel, U.S. CITIZENS MUST HAVE A VALID PASSPORT. Passports must be valid (not expire) for at least 6 months past the trip's end date. SUBMIT ONLY ONE REGISTRATION FORM PER ROOM Select Your Room Category: --Select One-- (SS) Suite-French and outside balcony, 350 sq.ft.($6622.00) (AA) French and Outside Balcony, 235 sq.ft.($5322.00) (AB) French and Outside Balcony, 235 sq.ft.($5122.00) (BA) French and Outside Balcony, 210 sq.ft.($4922.00) (BB) French and Outside Balcony, 210 sq.ft.($4722.00) (CA) French Balcony, 170 sq.ft($4122.00) (CB) French Balcony, 155 sq.ft($3722.00) (D) Fixed Window, 160 sq.ft.($3122.00) (E) Fixed Window, 160 sq.ft.($2823.00) *** Group discount of $250pp will be applied () SELECT "Not Applicable" YOUR DINING TIME PREFERENCE --Select One-- Early Late Open Not Applicable Select Optional Land Package Item Price Quantity 2/23-2/25 Pre-Cruise 2 Nights Amsterdam (hotel, walking tour, Zaanse Schans visit) $750.00 3/3-3/7 Post-Cruise 2 nights Lucerne & 2 Nights Zurich (hotels and tours) $1680.00 Travel Guard Cruise Protection Plan 13% of trip cost w/ Ama Waterways Quote me a 3rd party Trip Insurance (based on trip cost and age) TRAVELERS FOR THIS ROOM TRAVELERS MUST USE THEIR LEGAL NAMES AS THEY APPEAR ON THEIR PROOF OF CITIZENSHIP TO REGISTER TRAVELER one Gender ---Please Select--- male female other U.S. citizen ---Please Select--- yes no Date of Birth TRAVELER two Gender ---Please Select--- male female other U.S. citizen ---Please Select--- yes no Date of Birth ADD ADDITIONAL TRAVELER CANCELLATION PENALTIES Cancellation Schedule:121 days prior to departure $200 fee120-90 days prior to departure $400 fee89-60 days prior to departure 35% of cruise and land price59-30 days prior to departure 50% of cruise and land price29-7 days prior to departure 80% of cruise and land price6 days prior to departure 100% of cruise and land priceThere is also a penalty for airfare when cancelling. TRAVEL CANCELLATION INSURANCE We strongly recommend purchasing travel insurance due to the vendor's very strict cancellation policies. This is to confirm that you are aware of the cancellation penalties as described above on this page and that travel insurance is available for purchase to protect against cancellation penalties due to unforeseen MEDICAL reasons.Cover your trip investment from those unforeseen circumstances that may arise before or duringyour trip. The Cruise Protection Plan provides valuable coverage at an affordable price and includes a waiver ofPre-existing Medical Condition Exclusion if insurance is purchased within 21 days of Initial Trip Payment.Plan cost is 13% of your trip cost with AMA Waterways. DO YOU UNDERSTAND YOUR TRAVEL INSURANCE OPTIONS? ---Please Select--- Yes No DO YOU WISH TO PURCHASE TRAVEL CANCELLATION INSURANCE? ---Please Select--- Yes No DEPOSIT REQUIREMENTS It is the traveler's responsibility to determine the correct deposit amount. The deposit will be processed for the minimum amount required to secure the booking unless otherwise indicated by the traveler. Contact your travel agent if you have questions about your deposit amount. BILLING & TICKETING INFORMATION Card Type VISA MC AMEX DISCOVER Expiration Date Month January February March April May June July August September October November December (+)add another card PAYMENT INFORMATION Card Type: -Select- VISA MC AMEX DISCOVER Expiration Date Month -Select Month- January February March April May June July August September October November December Year CVV Number Amount to Pay Now: $ (+)add another card SPECIAL REQUEST OR ADDITIONAL INFORMATION