Cruise Registration Form

<<2010 Cruise Registration Form>>

First Person In Cabin:

Last Name: First Name: Date of Birth:

Address: APT#:

City: ST: ZIP:

Phone-H: Phone W: Phone-M:

E-Mail:

Cruise Categories: CAT 4C = $330 * CAT 6C = $375 * CAT8C = $565 * CAT 12 (Suite) = $1005 *

Select Cruise Category Here or Circle Above (taxes & fees already included in price):

Second Person In Cabin:

Last Name: First Name: Date of Birth:

Address: APT#:

City: ST: ZIP:

Phone-H: Phone W: Phone-M:

E-Mail:

Cruise Categories: CAT 4C = $330 * CAT 6C = $375 * CAT8C = $565 * CAT 12 (Suite) = $1005 *

Select Cruise Category Here (taxes & fees already included in price):

Third Person In Cabin:

Last Name: First Name: Date of Birth:

Address: APT#:

City: ST: ZIP:

Phone-H: Phone W: Phone-M:

E-Mail:

Cruise Categories: CAT 4C = $330 * CAT 6C = $375 * CAT8C = $565 * CAT 12 (Suite) = $1005 *

Select Cruise Category Here (taxes & fees already included in price):

Fourth Person In Cabin:

Last Name: First Name: Date of Birth:

Address: APT#:

City: ST: ZIP:

Phone-H: Phone W: Phone-M:

E-Mail:

Cruise Categories: CAT 4C = $330 * CAT 6C = $375 * CAT8C = $565 * CAT 12 (Suite) = $1005 *

Select Cruise Category Here (taxes & fees already included in price):

When you press submit, we will receive a copy of the information and so will you. At that point please proceed to our web site (Click Here) if you want to pay by Visa, Master Card or Discover. If you desire to pay by check, send the check along with a copy of the form to the following address:

Straight Company Cruz Desk

36840 Edgewater Street

High Point, NC 27265

For Help with the registration process, please call us at 336-887-4277

To Book call us @ 336-887-1485, email jharris115@triad.rr.com.com

[ Home ]

Revised Copyright © 2006 Straight Company