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 4A = $631.36 CAT
4D = $691.36
CAT 6A = $681.36 CAT 6D = 801.36
CAT Jr. Suite = $1131.36Select
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
4A = $631.36 CAT 4D = $691.36
CAT 6A = $681.36 CAT 6D = 801.36
CAT Jr. Suite = $1131.36Select
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 4A = $631.36 CAT
4D = $691.36
CAT 6A = $681.36 CAT 6D = 801.36
CAT Jr. Suite = $1131.36Select
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
4A = $631.36 CAT 4D = $691.36
CAT 6A = $681.36 CAT 6D = 801.36
CAT Jr. Suite = $1131.36Select
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 American Express.
If you desire to pay by check, send the check along with a copy of the form
to the following address:
Straight Company
36840 Edgewater Street
High
Point, NC 27265
For Help with the
registration process, please call us at 336-887-1485
