Rose Alston Travel

Cruise/Tour Sign-up Form

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Pinole Valley H.S.
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Denise's 40th B'Day Cruise

Please use this page to Sign-up for Cruises & Tours 

You may make payments by Cash, Check, Credit or Debit Card.  You choose the method.
 
1.  Make Checks payable to Rose Alston Travel and mail to: 1652 W. Texas St. - Ste 127 - Fairfield, CA  94533

 2. Call us with Debit/Credit card information at (707) 277-4922 or Toll Free (888) 282-6764

 

PLEASE READ THE FOLLOWING TERMS AND CONDITIONS BEFORE COMPLETING THE APPLICATION FORM

 

Terms and Conditions

1.        It is the passenger’s responsibility to read and understand the Terms, Booking Conditions and Other information provided by the travel supplier, prior to rendering a final deposit.  (Ask your travel consultation for this information.)

2.        Rose Alston Travel may assess a  per person fee for changes or cancellations, after the initial deposit is paid.  This is in addition to any penalties charged by the tour/cruise company.  The minimum change or cancellation fee is $25.00 and cancellations

        may be assessed as much as 10% of the base price of the trip.

3.        As a measure of protection, you should strongly consider the purchase of insurance through the tour vendor or another company.  This should be discussed with your travel consultant and if declined, the passenger is solely responsible for any losses, additional cost or penalties incurred.

4.        Deposits and payments may be made by cash, check, money order, credit and debit card.  Failure to pay funds by designated dates may result in cancellation of your booking and/or additional charges.  Deposit, payments and cancellation terms may differ for individual and group reservations.

5.        Rose Alston Travel, its employees and independent contractors are acting only as agents and have no control over cruise lines, airlines, rail, tour companies or ground transporters.  Therefore, Rose Alston Travel, its employees and independent contractors are not responsible or liable for late arrival of flights, buses, rail or other ground transportation, illness and injury; damage or loss of property,  nor loss of cruise/tour time or other irregularities resulting from the aforementioned.

Name(s) on Passport/Identification
Date(s) of Birth
Street Address
City
State
Zip Code
Home Phone
Work Phone
Fax Number
Email Address
Emergency Contact Name
Emergency Contact Phone
Emergency Contact Address
Country of Birth
U.S. Citizen
Passport Number
Passport Issued At
Passport Issue Date
Passport Expiration Date
Tour/Cruise Company
Tour ID Name or #
Tour/Cruise Departure Date
Tour/Cruise End Date
Cabin/Room Occupancy
Hotel/Ship Category
Cruise Dining Time
Other Accommodations Description/Request
Need Air
Air Return City
Air Departure City
Need Ground Transportation
Ground Transportation Description
Describe Special Needs
Do you wish to purchase trip cancellation/protection insurance
Amount of Cred/Debit Card Payment
Name of Credit/Debit Card
Credit/Debit Card Number
Expiration Date
Enter Last 4-Digits of Social Security Number as Your Electronic Signature