Booking Form Name* First Last Mailing Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cell Phone*Alternate Phone Number:Email* Emergency Contact Name*Emergency Contact Phone*Departure Date* Return Date* Departure Airport*Name of Hotel/Resort/ShipTraveler DetailsFull names must be listed as they appear on your government issued identification and passport for all travelers. If additional space is needed please email us a photocopy/image of your passport to firstname.lastname@example.orgPassenger 1* First Middle Last Birthdate* Passenger 2 First Middle Last Birthdate Passenger 3 First Middle Last Birthdate Passenger 4 First Middle Last Birthdate Passenger 5 First Middle Last Birthdate Passenger 6 First Middle Last Birthdate IMPORTANT:* I Agree All names and dates of birth listed above are as they appear on the respective government issued identification for each named person. I understand that if I have provided incorrect information that I may be denied boarding without compensation.Travel InsuranceI have been advised of the option to purchase travel insurance. I understand that if I decline insurance my vacation package may be non refundable and subject to change/cancel fees up to 100% without exception.Select One* Accept Insurance Decline Insurance Disclosure and ConsentWe make every effort to honor the package price quoted originally, however; under certain circumstances your price may be subject to increase if your reservation is not paid in full due to currency fluctuations or additional govt taxes or fees beyond our control. Cruise lines have the right to add a fuel surcharge regardless of booking status per their individual policies. More information can be found on the cruise line website. You will be advised of any price increases immediately. To avoid a rate increase, we recommend payment in full by the due date specified in your booking recap email that accompanied this form. Price match is only available within 24 hours of booking (once deposit or full payment is processed). Airline tickets are non refundable once issued. No name changes are permitted. Name on ticket must match your passport exactly. Date changes may be permitted with a fee plus any difference in the fare.Routing restrictions may apply. Frequent Flyer miles may not be available for accrual with certain discounted tickets. Airlines may have additional fees for seat assignments, premium seat assignments and for checked luggage. For more information visit: http://www.exploreflightfees.com/. Hotel reward points or amenities may not be combinable with all hotel packages. Any booking fees to Travel by Darcy LLC are non refundable. Travel by Darcy LLC is not responsible for foreign transaction fees that may be imposed by your credit card provider. It is recommended that you contact your credit card company prior to booking to ensure you have available funds. It is the responsibility of the traveler to ensure you have proper documentation for your trip. This includes but is not limited to government issue ID (domestic travel), valid passport (international travel) or entry visa (required for several countries). Visit www.cibt.com if you need assistance obtaining a visa for your trip. Adults traveling internationally with minors may require additional authorization paperwork. By submitting this form you acknowledge that if you or anyone in your party has been convicted of a crime you may be denied entry into your destination country and that it is your responsibility to determine entry requirements and restrictions before proceeding with your reservation. Full booking terms and conditions relating to your specific trip are available and provided on request. Travel by Darcy LLC, an affiliate of Cruises and Tours Unlimited, acts only as agent for the client in acquiring transportation, accommodations, sightseeing and other privileges, or services for the clients benefit, and on the express condition that Travel by Darcy LLC and it's agents shall not be responsible for any loss, accident, injury, delay, defect, omission or irregularity which may occur or be occasioned, whether by reason of any act, negligence or default of any company or person engaged in or responsible for carrying out any of the arrangements, or otherwise in connection therewith. By clicking submit below, you expressly acknowledge your acceptance of these conditions applicable to your vacation purchase.Terms & Conditions Notice* I Agree I have been advised of potential change/cancellation charges that may be implemented by the supplier in the event that I choose to cancel or change my booking after making the initial deposit. I understand that Travel by Darcy LLC cancellation fees ($100-200) are in additional to supplier fees and must be paid prior to my cancellation request being processed.Credit Card Information Name* First Middle Last No third party credit cards accepted. Card holder must be one of the travelers.Credit Card Number*Expiration Date* MM DD YYYY CVV*Last 3 digits on back of credit card or front 4 digits for American Express Billing Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code (Complete if different than your mailing address above)Amount Approved (If Deposit or other amount is approved.)*Final Payment* Yes, please charge the balance when due to this card No, I will provide a different card prior to the due date Pay my reservation in full now Card Holder Authorization I, the authorized credit card user, give Travel by Darcy LLC and its representative express authorization to charge my credit card for the purposes detailed above. I understand that this form constitutes a legally binding contract and that by submitting this form, I will be held responsible for all agreed upon charges as well as any and all collection and legal fees. By submitting this "Credit Card Authorization" form, I (cardholder), acknowledge receipt and understanding of its contents. Note: Your card will not automatically be charged by completing and submitting this form; however, completing and submitting this form does give the agent the right to charge the card for the amount and purpose authorized above.