Simply World Class
"The world is a book and those who do not travel read only one page."
Traveler's Guide - B4UGo
Simply World Class Travel Booking Inquiry Form
Support A Cause
Thank you for choosing to travel with Simply World Class!
Please complete all questions on the online registration form to avoid delays in processing.
If a question does not apply, you may leave blank.
Which SWC Group Trip are you registering for?
Sail The High Seas 7-Day Western Mediterranean Cruise (10/06/13 - 10/13/13)
Mardi Gras NOLA 2014 (02/28/14 - 03/06/14)
Take Me Away 12-Day Eastern & Southern Caribbean Winter Cruise 2015 (01/18/15 - 01/30/15))
Indicates required field
Have you submitted your deposit for the desired trip?
(Deposit must be on file to register)
Yes - Credit Card By Phone
Yes - Check/Money Order By Mail
Full Name (as shown on government issued ID)
Forms of government issued identifications are state issued ID (ie Mass or Liquor ID), license or passport.
John James Smith
Full Street Address including Apt/Suite/Door/Floor No, City, State and Zip Code
1 Any Street, Apt A
Anywhere, CA 55555
Best Phone Number
Please make sure your e-mail address is valid. Check for spelling, punctuations, and special characters.
Date of Birth (mm/dd/yyyy)
How did you hear about the Simply World Class event or who were you referred by?
Kim Woodruff (Simply World Class)
Toni Porter (Perfect Reflections Travel)
Jerome McKinnon (Perfect Reflections Travel)
Jennifer Smith Reed (A Touch of Jen)
Other (please list below)
(If Other, please list below)
Emergency Contact Name
The Emergency Contact and Number MUST BE of someone who is not traveling with you.
Emergency Contact Number
Stateroom Type (if cruising)
N/A - Not cruising
Other (indicate below)
If Other, please provide stateroom type.
Is your package type single, double, or triple occupancy?
If double or triple, please answer next question.
If double or triple, provide first and last name of roommate(s)
If more than one roommate, please list one guest per line.
Example: John Smith
Would you prefer one king or two double beds in your room/suite/cabin?
One King Bed
Two Double Beds
Are you aware that Simply World Class does not offer travel insurance and,
if desired, you must purchase on your own? *
Have you thoroughly read and do you agree to the booking
on Simply World Class?
Selecting YES indicates your full acceptance of the terms and conditions listed
on the Simply World Class website entirely, and specifically under "Fine Print".
Registration Date (today's date)
Comments & Special Requests
* Dietary restrictions
* Handicap access
* Floor or level
* Adjacent/next door to a friend or family member
Special requests are not guaranteed, but we work hard to accommodate where possible.
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