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GP Travel Corp.
Registration Signup Sheet
Phone: 816-737-9581 - Toll Free: 800-442-5895 - Fax: 816-356-4796
Print, Sign and fax or if
paying with check mail to:
GP Travel,
6817 Stadium Dr, suite 303,
Kansas City, Mo. 64129
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Passenger #1 Name On Passport or ID:
_____________________________________
Passport or D.L. #:____________________
Address:_____________________________
_____________________________________
City:_________________________________
Work Phone:_______________________________
Home Phone:_________________________
Date Of Birth:_________________________
E-mail:_______________________________
Fax#_________________________________
Do you want transfers to and from airport/ship booked? (YES/NO)
Airport:________________________
Cabin Choice: (circle one)
Cabin Type:
(Inside, Oceanview, Balcony, Suite)
Cabin Price:__________________________
Bed/s: Queen / Twins (circle one)
Credit CC or Ck#:______________________
Exp Date:_____________________________
Visa, Mastercard, Other:________________
Deposit for cruise portion only: (circle one)
(Alaska $350.00, Panama 450.00 Minimum)
Name As On Card:_____________________
Signature X____________________________
If paying with a check make check payable to: ……………………GP
Travel Corp
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Insurance
should be purchased separately. Different plans for different needs.
Call Stonebridge/Berkley at 1-800-797-4516.
Or log onto
www.travelexinsurance.com (use location number 25-0011) or
call “Travelex” at 1-800-228-9792. Prices through “Travelex” are based on
coverage chosen, cost of trip and age. Choose “Travel Lite” for cancellation
and trip interruption or “Travel Plus” for more comprehensive coverage.
Purchase coverage within 21 days of booking to cover pre-existing
conditions.
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Passenger #2 Name On Passport or ID:
_____________________________________
Passport or D.L. #:____________________
Address:_____________________________
_____________________________________
City:_________________________________
Work Phone:_______________________________
Home Phone:_________________________
Date Of Birth:_________________________
E-mail:_______________________________
Fax#_________________________________
Do you want transfers to and from airport/ship booked? (YES/NO)
Airport:________________________
Cabin Choice: (circle one)
Cabin Type:
(Inside, Oceanview, Balcony, Suite)
Cabin Price:__________________________
Bed/s: Queen / Twins (circle one)
Credit CC or Ck #:_______________________
Exp Date:_____________________________
Visa, Mastercard, Other:________________
Deposit for cruise portion only: (circle one) (Alaska $350.00,
Panama 450.00 Minimum)
Name As On Card:_____________________
Signature X____________________________
If paying with a check make check payable to: …….……………….GP
Travel Corp
-
Insurance should be purchased separately.
Different plans for different needs.
Call Stonebridge/Berkley at 1-800-797-4516.
Or log onto
www.travelexinsurance.com (use location number 25-0011) or
call “Travelex” at 1-800-228-9792. Prices through “Travelex” are based on
coverage chosen, cost of trip and age. Choose “Travel Lite” for cancellation
and trip interruption or “Travel Plus” for more comprehensive coverage.
Purchase coverage within 21 days of booking to cover pre-existing
conditions.
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