Alabama Society of Radiologic Technologists

Alabama Society of Radiologic Technologists

2009 Conference

on board Carnival’s Holiday

April 16^th – 20^th

Cruise Registration Form

Due to Government Security Regulations, every passenger is required to carry government issued identification, i.e. driver’s license, when boarding the airplane. Proof of citizenship, passport, is required to board and depart the ship.

Passport may be required for all passengers.

Print this form, complete all fields, and mail or fax to All Seasons Travel at 334-271-5939

Name (as it appears on passport)_________________________________________

Home Address _______________________________________________________

City ______________________ Zip________ Phone________________________

E-mail ________________________ Date of Birth _________________________

Male _____ Female _____ Tech _____ Student _____ Guest _____

If guest, name of ALSRT member _________________________________________

Cabin mates and their DOB _________________________________________________

Cabin Type ______________________ Transportation to Pier: Air ____ Driving ____

Medical/Dietary needs _________________________________________________

Emergency Contact ___________________ EC Phone _____________________

Please note, that for purpose of search and rescue, the International Convention for the Safety of Life at Sea (SOLAS) requires that ages of our guests be recorded prior to a vessel departure. The age of a guest is a requirement and needs to be collected when names are being entered at the time of booking.

$50pp Non Refundable Deposit to Reserve

$150pp deposit due by November 23^rd

Balance (final Payment) due by January 23^rd 2009

Inside Cabin on Riviera Deck (4A) $ 409.32pp double occupancy

Inside Cabin on Upper Deck (4C) $ 449.32pp double occupancy

Ocean View Cabin on Riviera Deck (6A) $ 459.32pp double occupancy

Ocean View Cabin on Upper Deck (6C) $ 519.32pp double occupancy

$ 40 per person suggested gratuities

Yes, I would like to pre-pay ________ I will pay onboard the ship _________

$ 49 per person Carnival’s Vacation Protection Plan

Yes, I would like insurance _____ (initials) No, I would not like insurance ____ (initials)

NOTE: $130 Meeting Registration Fee for ALSRT Member may be mailed with your cruise fee

Payment Method (Cash, Check or CC Type) __________________________________

Credit Card Number _______________________________ Exp Date _____________

Billing Address _________________________________________________________

Total amount to charge ______________

Signature to authorize all charges for cruise _________________________________

If paying by credit card please send:

Copy of front and back of signed credit card

Copy of front and back of driver’s license

Completed Registration form with signature

Cancellations made after February 14^th will be penalized $150pp, after March 16^th 50%, and after April 07^th 100%. All initial deposits are nonrefundable.