Cruise Line & Sailing Date

Departure City

Past Passengers with this Line add Membership number:

Passenger 1  -  Last Name

First Name - as appears on I.D.

Age

Passenger 2  -  Last Name

Age

Passenger 3  -  Last Name

First Name - as appears on I.D.

Age

Passenger 4  -  Last Name

First Name - as appears on I.D.

Age

Address 1

Address 2

Zip/Postal Code

State/Province

City

Mobile Phone optional

Day or Work Phone w/area code

Home Phone with area code

E-mail

Payment Information

CRUISE:  $300 Per Person Deposit required to hold Cabin.             Agency retains $50 penalty Per Cabin for cancellation* at any time AIR & PACKAGES:  SOLD OUT! - Request Best Air from your city!           *All Refunds & Cancellations are ultimately subject to Cruise Line and Airline rules and full penalty schedules.

Authorized charge:

Name on card:

Card Type                                        Card Number                                               Month          Year                                                                   No spaces required                                  Expiration Date

SPECIAL REQUESTS  Please note here if you require a stateroom which sleeps more than 2 passengers. (These must be requested in advance to guarantee availability.)    After payment is processed, you will receive information with important details and a form to clarify your preferences to personalize your vacation experience!

Select Preferred Cabin Category  Assigned First Come / First Served

Deposit Due January 23, 2004 to GUARANTEE your Discounted Cabin!

Air Add On & Transfers OPTIONS  ADDITIONAL $50 PER PERSON DEPOSIT DUE IF AIR AND/OR PACKAGES ARE ADDED!  Select 1 choice for all persons sharing a cabin.  Other requests need to be noted above.

IMPORTANT - Proper I.D. & Citizenship documentation is the responsibility of every traveler.  Acceptance of this responsibility is assumed by purchasing travel.  U.S. CITIZENS:  Names must match Birth Certificates (MUST be certified copy,) or Passports for re-entry into the United States.  Only First & Last required.  Married or other name change, take leagal documents for verification if not using Passport.  Standartd ordering time for Certified Birth Certificate can be 6 or more weeks. NON U.S. CITIZENS:  Required documents may vary - check with your consulate or ask for referral source.

By completing the above information and clicking the 'Submit' button you authorize Omnibus Tours, Inc. to process the deposit(s) indicated.  Should your selected cabin category not be available at the time of receipt of this form, no charge will be processed until you have been contacted to authorize a change.  You will receive an E-mail confirmation of your Booking within 5 Business days of receipt.  This will be followed by an information packet via stantard mail to personalize your vacation experience! THANK YOU for booking with OMNITRAV - your online vacation source!

NCL's Norwegian Star            April 18, 2004 Specially Discounted 7 Day Hawaii Sailing  - Booking Form -

First Name - as appears on I.D.