SOM UNITY 2020 Reservation Form

Please complete the form below and one of our Vacation Designers will get in touch with you right away.
A fully-refundable $350 per person deposit is required at the
time of booking in order to confirm your reservation.
** For name fields, please make sure the names you give us are exactly as they appear on your passport / proof of citizenship **

1. Name(s) and Contact Information

* Indicates required field

How did you learn about our cruise? *

FIRST GUEST

Full, Legal Name as it appears on Passport *

Date of Birth *

Email Address *

Street Address *

Phone Number *

City *

State *

Zip *

SECOND GUEST (skip if none)

Full, Legal Name as it appears on Passport *

Date of Birth *

Email Address *

Street Address (if different) *

City *

State *

Zip *

Phone Number *

THIRD GUEST (skip if none)

Full, Legal Name as it appears on Passport *

Date of Birth *

Email Address *

Street Address (if different) *

City *

State *

Zip *

Phone Number *

FOURTH GUEST (skip if none)

Full, Legal Name as it appears on Passport *

Date of Birth *

Email Address *

Street Address (if different) *

City *

State *

Zip *

2. Cruise Information

Please note: Cabin types are subject to availability at the time of booking.

Cabin type we are reserving for you *

Bedding Preference (for guests 1 & 2) *

If cabin choice above is "other" please explain *

Do you require a wheelchair accessible cabin? *

Yes No

Dining Preference *

Where will you be flying from? *

Please indicate any Dietary Needs *

3. Deposit and Payment Information

Holland America Line requires a $350 per person deposit in order to confirm your cabin. This deposit is fully refundable if cancelled no later than 10/1/2019. Please visit the "Frequently Asked Questions" link at the top of this page for complete payment terms and cancellation policies.
**TO PROTECT YOUR PRIVACY, WE ASK THAT YOU ONLY ENTER THE LAST 4 DIGITS OF YOUR
CREDIT CARD NUMBER BELOW, WHICH INDICATES YOUR INTENT TO DEPOSIT YOUR CRUISE.
WE WILL CALL YOU TO GET THE REST OF YOUR CREDIT CARD INFORMATION, GO OVER THE DETAILS,
ADDRESS ANY QUESTIONS AND SECURE YOUR RESERVATION.

1ST GUEST

Name on Card *

Last 4 Digits of Card *

Expiration Date *

Amount To Charge *

2ND GUEST
(skip if none)

Name on Card *

Last 4 Digits of Card *

Expiration Date *

Amount to Charge *

3RD GUEST
(skip if none)

Name on Card *

Last 4 Digits of Card *

Expiration Date *

Amount to Charge *

4TH GUEST
(skip if none)

Name on Card *

Last 4 Digits of Card *

Expiration Date *

Amount to Charge *

Comments, Questions or Special Requests *

Submit