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Best of the Mediterranean & Greek Isles Luxury Cruising

Registration Form

Reserve the Best of the Mediterranean & Greek Isles Cruise today.
PLEASE MAKE MY/OUR RESERVATION FOR:
? CRUISE PROGRAM WITH AIRFARE
Please indicate preferred departure city: ___________________________
? CRUISE PROGRAM ONLY
Stateroom category requested: 1st choice ________ 2nd choice _________
Bed request: ? Twin (2 beds) ? Queen
Single and Triple accommodations are subject to availability, at an
additional cost. Request: ? Single ? Triple
Please reserve _______ spaces and enclosed is my/our deposit check for
$ __________________ , payable to Go Next.
Deposit and Final Payment: A deposit of $850.00 per person is due
with your reservation application. Make your check payable to Go Next.
Full payment is required 100 days prior to group departure. Any bookings
received within 100 days of group departure are subject to availability and
must be accompanied with full payment.
Deposits may also be made by credit card; however, all FINAL payments
are required to be made by check or cash. I/we authorize you to
charge my/our deposit for $ to: ? Visa ? Mastercard
Card No.
Exp. Date / 3 Digit Security Code _____/_____/_____
Name as it appears on credit card
X
Signature
Name
(as it appears on your passport, last, first)
Name
(as it appears on your passport, last, first)
E-mail Address
Home Address
City
State ZIP
Home Phone /
Office Phone /
Roommate
(if different than above)
Adjacency Request
SIGNATURES REQUIRED BY EACH PERSON TRAVELING INCLUDING
PARENT/GUARDIAN FOR MINOR CHILDREN: I/We have read, received
a copy of, understand and accept the terms and conditions stated in the
operator/participant agreement.
SIGN HERE X
SIGN HERE X
Making a deposit or acceptance or use of any vouchers, tickets, goods,
or services shall be deemed consent to and acceptance of the terms and
conditions stated in the applicable Operator/Participant Agreement
including limitations on responsibility and liability.
INSURANCE: Trip Insurance is available and may cover you against
unforeseen covered reasons. See panel for details.
PLEASE PROVIDE TRAVEL GUARD TRAVEL INSURANCE:
? Non-refundable premium payment enclosed.
? Please invoice me/us for the payment.
Please select the appropriate premium amount based upon the total per
person cost of travel services purchased from Go Next.
? $2,001 - $2,500 = $189 ? $4,001 - $4,500 = $329 ? $6,001 - $6,500 = $459
? $2,501 - $3,000 = $229 ? $4,501 - $5,000 = $359 ? $6,501 - $7,000 = $499
? $3,001 - $3,500 = $259 ? $5,001 - $5,500 = $399 ? $7,001 - $7,500 = $539
? $3,501 - $4,000 = $289 ? $5,501 - $6,000 = $439 ? $7,501 - $8,000 = $579
INITIAL HERE IF YOU WISH TO DECLINE TRAVEL GUARD
TRAVEL INSURANCE:
All passengers must have a valid passport with at least
6 months validity remaining at time of travel.

PRINT AND MAIL TO:   

GoNext
8000 West 78th Street, Suite 345
Minneapolis, MN 55439-2538 

Phone: 952-918-8950   800-842-9023

Request a brochure 
Phone: (419) 772-2727
Toll-Free: (866) ONU-ALUM


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