RESERVATION BOOKING FORM

Please fill out the form below, email it, or print it out and mail with your payment to:

Your First Name:
Your Last Name:
(Please enter your name as it appears on birth certificate or passport)
Street Address:
Apt # :
City:
State:
Zip Code:
Email Address:
Daytime Phone:
Evening Phone:
Fax Number:
Gender:	Male Female
Date of birth:
Will you need a roommate:	Yes No
Do you smoke:	Yes No
Are You a U.S. Citizen:	Yes No
Roommate 1 Name:
Roommate 2 Name:
Roommate 3 Name:
Roommate 1 Date of birth:
Roommate 2 Date of birth:
Roommate 3 Date of birth:
Would you like an airfare quotation:	Yes No
If so, what city of departure?
Payment Information: A deposit of $150 per person is due to reserve your cabin space for the 3 - Nights African American Singles Cruise Final payment is due 60 days prior to the sailing date. You can also make monthly payments if you wish, after your deposit is made until final due date. Payments can be made by personal check, Visa, MC, Discover, or AMEX. Please make any checks payable to Tres Chic Events PO Box 211832 West Palm Beach Florida 33421
Amount of Payment: Note: Prices do not include roundtrip airfare.
3 - Nights African American Singles Cruise: Nov 9th - Nov 12th, 2007 Departs Miami	$150 Deposit for Inside Cabin, balance due 60 days prior to sailing $150 Deposit for Outside Cabin, balance due 60 days prior to sailing $371.48 (Inside Cabin) $401.48 (Outside Cabin)
NOTE: Be advised, we have special negotiated group rates, and the cruise line reserves the right to withdraw these prices at any time. Rates subject to change and based on availability (first come/first serve). The cheaper cabins are usually the first to sell out first, so get your deposit in today to guarantee these rates!
Do you want to purchase the optional travel insurance?:	Yes No
Payment Methods:
Check:	(date mailed)
Credit Card:	VISA  Mastercard  American Express  Discover
Name of Cardholder:
Credit Card Number:
Expiration Date:
Cardholder's Billing Address:
City:
State:
Zip:
Comments/Questions/ Special Requests:
The antibot code:
Please confirm the antibot code:

Use our on-line booking form to reserve your cabin today! Be sure to visit our frequently asked questions section for more information. Please call us at (602) 553-8178 or send her an e-mail if you have any additional questions about our cruises. Sign-up for our mailing list to receive notices about future singles cruises.

Get a free one-year membership at Match USA Personals a $129 value with any cruise.
Can not be combined with any other offer.