Scandinavia & Russia 2022 Registration - Tour Plan International

Please return Reservation form , Emergency contact & Credit Card Authorization forms to: Kissy Gordon, 804-334-9897

Scan & Email to: k.gordon@tourplaninternational.com
or Fax to: 850-389-8358
or Mail to: 11453 Rockville Rd, Suite A, Rockville, VA 23146

Download Blank Form or fill out the form online below and submit:

Ultimate Scandinavia and Russia

Personal Information

Passenger 1 *

Date of Birth *

Passenger 2

Date of Birth

Mailing Address *

City *

State *

Zip *

Email *

Home Phone

Cell Phone

Work Phone

Room Selection

Please select a room from the following options and indicate the number of guests (including yourself):

Balcony Cabin (2D)

Single - $2691.99

Double - $1602.99

No of guests

Subtotal Balcony Cabin $

Ocean View (4N)

Single - $1731.99

Double - $1122.99

No of guests

Subtotal Ocean View $

Subtotal $

$450 Deposit Per Person $

Balance Due March 1, 2022 $

Insurance

Yes, quote me a rate

Emergency Contact

Name *

Relationship *

Phone # *

Email Address

Miscellaneous

Celebrating a Birthday or Anniversary:

Allergies or Special Dietary Needs:

Notes:

Credit Card Authorization

Credit Card Type

American Express

Discover

Mastercard

Visa

Credit Card Number

Expiration

CVC

Name of Cardholder

Billing Address and phone if different than registration

Credit Card Agreement

My signature authorizes Tour Plan International and/or Royal Caribbean Cruises (supplier) to charge

Total Due $

to the above credit card.

I understand that my card may be charged for certain penalties or fees for changes or cancellations.

Signature *

Clear

Date *

If you are human, leave this field blank.