Celebration of Wine 2023 Reservation Form

MARC SUPSIC'S CELEBRATION OF WINE CRUISE - JULY 29 2023 - RESERVATION FORM

Please complete the following form in it's entirety and one of our
team members will get to work right away securing your reservation!

QUESTIONS? CALL SCOTT @ VACATIONS BY DESIGN: 800-828-4813, EXTENSION 1003

Full, Legal Name(s) as it appears on a valid U.S. Passport is required

* Indicates required field

Primary Contact Name *

First

Last

Phone # *

Email *

Street Address *

City *

State *

Zip *

First Guest Full, Legal Name *

First Guest Date of Birth *

Second Guest Full, Legal Name *

Second Guest Date of Birth *

Stateroom Type Desired *

Stateroom Occupancy *

Where would you like to fly from? *

Choose from the FREE 3-Night Pre-Cruise Package in Barcelona OR just the cruise-only with $1000 per person savings *

Free 3-day pre-cruise package in Barcelona Cruise-only at $1000 per person savings

Special Requests or Comments *

THIS CRUISE REQUIRES A $400 PER PERSON DEPOSIT AT THE TIME OF
BOOKING IN ORDER TO CONFIRM YOUR RESERVATION. UPON RECEIPT $200 PER PERSON IS IMMEDIATELY
NON-REFUNDABLE, AS PER AMA WATERWAYS CANCELLATION GUIDELINES.
ONCE THIS FORM HAS BEEN RECEIVED WE WILL CONTACT YOU TO GO OVER ALL DETAILS.

Name as it appears on your credit card *

Credit Card Number *

Expiration Date *

Security Code *

Submit