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Legal Name (as it appears on your valid passport )

Male Female
It is your responsibility to contact Dickson Productions if your name does not appear IDENTICAL to your valid passport and on this form. If not, a correction fee may be assessed per Carnival.
Email
Birthdate
I would like my Receipt Emailed I would like my Receipt Mailed
Street Address
City
State
ZIP
Phone with Area Code
Emergency Phone Number
Emergency Contact
 
Relation
Roommate(s) Name:
1)
2)
3)
Pricing Per Person

4B Quad
 $898
6B Quad
 $938 6B Triple $989

Double Occupancy Pricing Per Person:
4B $1035 6B $1095 6D $1125 Ocean Suite $1565
4C $1045 6C $1105 6E $1135 Grand Suite $1765
4D $1050
       
Tremont Hotel (July 4th, optional):
 Exclusive Big Music Cruise Only:
Single: $225    Double: $124    Triple: $88   Quad: $69                     
4B
$
Single     $
4C
$
Double    $
4D
 $
Triple      $
6B
$
Quad      $
6C
 $
 
6D
 $
 
6E
 $
Dining Preference:
Ocean Suite
 $
Dickson Productions will request the 6:00 dining time to work around concert, events & party schedule
Grand Suite
 $
 
Add $25.00 if signing up after April 30th, 2010
$
   
Add Port Charges, Taxes, and Gratuities
$    319.87
    
Deduct $70 if participant is under age 21 at time of cruise $    
A non-refundable deposit is required to make your reservation and applies to your trip balance (per person) $    (200.00)    
Total  
$
   
Balance Due (April 30th, 2010)
After April 30th, 2010, full balance due when making reservation.
$
   
I have read and fully understand Carnival Cruise Line and Dickson Productions Terms and Conditions, which serves as an agreement between myself, Dickson Productions, and co-sponsors, and have received my copy of this Agreement.
For questions and comments please call or email info@thebigmusiccruise.com