Royal Sapphire Travel & Cruise Client Information Form
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1Royal Sapphire Travel & Cruise
Client Information Form
P.O. Box 307, Lexington Park, MD 20653
First Name:
Last Name:
Home Address:
Email Address:
Home Phone:
Cell Phone:
Date of Birth
mm/dd/year
Emergency Contact Information
Name of Emergency Contact Person:
Telephone Number:
Vacation Information
Do you have a valid passport?
no
yes
Cruise Stateroom Selection:
Interior Oceanview
Balcony
Suite
Triple (3)
Quad (4)
Single
(All cabin category are based on available) (Single, Suite, Triple and Quad will require full deposit of _______per person at time of booking deposit.)
Dining Preference: Early:
Late:
My Time:
st
1
time Cruiser:
Past Guest
yes
no
(
Pre-paid gratuities Yes:
or
No
List cruise Line):
Any special medical or
dietary needs:
Special Event (Birthday,
Honeymoon, Anniversary, etc.)
Type
Hotel
Land Vacation:
Airline:
Train:
Rental Car:
Transportation:
Number of Rooms:
Bed type:
Number of Guest per room: Adult
Child
Travel Insurance is highly recommended to all clients to cover their travel investment as well as provide medical coverage
from certain situations that could cause their trip to be cancelled, interrupted and or delayed.
Yes
I want to purchase travel insurance. I will provide rates and information for you to review.
No
I do not want to purchased travel insurance (You will be required to sign an insurance waiver form)
For Office Use Only:
Vendor:
Date Booked:
Booking/Confirmation Number:
Cabin or Room Number:
Insurance Waiver form on file:
Credit Card Authorization Form on file:
Type of payment Credit Card
Check
Money Order
Payment Plan:
Date
_______________ Amt: __________
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Parent category: Business