CE in Italy/Europe - Summer Cruise 2022
Step 1: Guest Information
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Total Number of Guests:
1
2
3
4
5
6
7
8
9
10
Guests 1 Information -
If we are making an air reservation, Guest name MUST match passport exactly in order to board airplane.
Guest Title :
Title
Mr.
Dr.
Ms.
Mrs.
Sen.
Hon.
First Name
*
:
Middle Name :
Last Name
*
:
Suffix :
..
Sr.
Jr.
I
II
III
IV
Preferred First Name :
Guest DOB
*
:
Please provide a valid date in the "MM/DD/YYYY" format
Gender :
Please Select
Female
Male
Passport Num :
Passport Issuing Country :
Passport Issue Date :
Please provide a valid date in the "MM/DD/YYYY" format
Passport Exp :
Please provide a valid date in the "MM/DD/YYYY" format
Allergies or Special Medical Needs We Should be Aware Of? :
Step 2: Contact Information
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Your Country :
Please Select A Country
United States
Afghanistan
Albania
Algeria
American Samoa
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Anguilla
Antarctica
Antigua And Barbuda
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Belarus
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Belize
Benin
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Bhutan
Bolivia
Bosnia And Herzegovina
Botswana
Bouvet Island
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
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Canada
Cape Verde
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Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
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Cook Islands
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Cote Divoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
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El Salvador
England
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
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Guinea-Bissau
Guyana
Haiti
Heard Islands
Honduras
Hong Kong
Hungary
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India
Indonesia
Iran
Iraq
Ireland
Isle Of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
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Kenya
Kiribati
Korea, North
Korea, South
Kuwait
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Lao
Latvia
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Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
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Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
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Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Ireland
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Helena
Saint Kitts
Saint Lucia
Saint Martin
Saint Pierre
Saint Vincent
Samoa
San Marino
Sao Tome And Principe
Saudi Arabia
Scotland
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
Spain
Sri Lanka
Sudan
Suriname
Svalbard
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad And Tobago
Tunisia
Turkey
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Turks And Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands
Wales
Western Sahara
Yemen
Zambia
Zimbabwe
Street Address
*
:
City
*
:
State/Province
*
:
Please Select a State or Province
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington, DC
West Virginia
Wisconsin
Wyoming
Armed Forces of the Americas
Armed Forces of Europe
Armed Forces of the Pacific
Zip/Postal Code :
Whose address is this? :
Guest 1
Email Address
*
:
Phone Number
*
:
This is my:
*
:
Cell/Mobile
Home
Office
Preferred Method of Contact
*
:
e-Mail
Phone
Step 3: Trip Information
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Departure Date
*
:
Please provide a valid date in the "MM/DD/YYYY" format
Return Date
*
:
Please provide a valid date in the "MM/DD/YYYY" format
Room/Cabin Type
*
:
Please Select
Category 2 ($2451pp/Double Occ) - 2 available
Category 3 ($2,318pp/Double Occ.) - 8 available
Category 4 ($2,204pp/Double Occ.) - 4 available
Category 1 - None Available Currently
Category 2 - None Available Currently
Category 5 - None Available Currently
Travel Protection
*
:
Yes
No
Please select YES or NO if you'd like a quote for travel insurance. Quotes will be generated and sent with your trip confirmation. Please note Cancel For Any Reason (CFAR) trip insurance must be purchased within 21 days of your deposit. Standard travel insurance coverage may be purchased up to your date of travel. Please refer to your quote for further details on coverage options, limits and other deadlines. I acknowledge that Antilia Travel has recommended or offered travel insurance protection to me. Should I choose not to purchase such a policy, I accept all responsibility for declining to secure coverage.
Will you be celebrating any special occasion while on your trip? :
Emergency Contact Name (Someone You are NOT Traveling With):
*
:
Emergency Contact Phone #: :
Emergency Contact Email :
Emergency Contact Relationship :
Have you ever sailed with Star Clipper before?
*
:
Yes
No
If yes, please provide date and/or destination. :
Bedding Preference
*
:
One Double Bed
Two Single Beds
Triple Occupancy (limited configurations available)
I acknowledge my registration is not complete until I submit payment for my deposit in the amount of $450 per person.
*
:
Yes
Step 4: Payment Information
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Payment Type
*
:
Payment Type
American Express
Discover
MasterCard
Visa
Pay in Full or Deposit:
Pay in Full
Deposit Only
Other
Amount:
Submit an additional payment type:
Yes
No
Payment Type
Payment Type
American Express
Discover
MasterCard
Visa
Submit an additional payment type:
Yes
No
Payment Type:
Payment Type
American Express
Discover
MasterCard
Visa
Step 5: Additional Information
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Special Requests :
Other Questions/Comments :
When you retain Antilia Travel to help plan your travel, you're hiring a professional travel advisor to ensure that your trip is tailored to your taste, preferences, and budget. You get the benefit of our skill, experience and training, our professional relationships, and our industry connections. By checking the box below and submitting this form, you acknowledge that you are hiring us to plan your trip and that you have read and agree to our Terms and Conditions of booking, which are located at: https://www.antiliatravel.com/terms-conditions
I Agree
*
Please upload any relevant files, such as copy of passport, previously purchased travel insurance, etc.
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