Registration Form

Please fill out this form COMPLETELY and click submit. Please be patient and only click submit ONCE.
If you have any problems or questions contact hamiltonw@etown.edu.

First Name You will be billed $555.45 for the cruise.
Last Name
Student ID Transportation is an additional $152 - $218
Campus Box depending on the number of passengers. You
Campus Phone will be billed the lowest possible amount.
Mobile Phone
Campus Email
Alternate Email
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Please enter the following information as is on file with your credit card company:
Name on Card
Address Line 1
Address Line 2
City
State
Zip code
Credit Card Type: Visa
MasterCard
Discover
AMEX
Diners Club

Your Credit Card will NOT be charged until AFTER the close of registration.

Expect your card to be charged between October 25th and November 2nd.

Credit Card Number
Credit Card Expiration Date
Credit Card Security Code Click HERE for help locating this number.
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While it is not necessary to know your roommates immediately, it is recommended that you include information for any roommates you have arranged for to ensure that you are not assigned to roommates. PLEASE USE FULL NAMES AND NOT NICK NAMES!
Roommate 1
First Name
Last Name
Roommate 2
First Name
Last Name
Roommate 3
First Name
Last Name
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Have you cruised with NCL in the past? Yes No
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Will you be traveling to and from the Port of Miami on our arranged bussing? Yes No
NOTICE!! By declining this transportation you must arrange for your own travel to the Port of Miami.
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Would you like to purchase the Travel Insurance from America's Vacation Center (our travel agency)? Yes No (Additional $45 fee)
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Are you interested in upgrading your cruise package? Yes No (Additional fees apply, This does NOT COMMIT you to upgrade)
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Comments: (limit of 255 characters)
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Checking the box below and clicking submit shall constitute your electronic signature that you hereby agree to adhere to the Terms and Conditions.
I accept the Terms and Conditions
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Please click Submit only ONCE