Applications are processed on a first come basis.
Please Note: We cannot reserve a cabin until a $100 deposit (per person) is received. The deposit is NON-REFUNDABLE!

Please complete the following registration form. When you press “Submit” the form will be forwarded to our Customer Service Department. The Customer Service Department will confirm your category selection and price.

The reservations are processed on a “first come, first served” basis. Please familiarize yourself with the cancellation policy.

Remember to print your completed form before you submit it. You will not be able to view your completed form after you press submit.


* - Required Fields

 
Section 1: Personal Information ( Legal Name )
* Mr. Mrs. Ms. Dr.
 
Legal Last Name *: First *: Middle :
Mailing Address *:
(cannot use a P.O.Box)
Tickets will be mailed via U.S. certified mail.
Signatures are required.
Home or Business*
Street*:
City*:
State*:
Zip Code - [4 digit] Postal Code*:
-
Country of Citizenship*:
Home Phone # *: - -
Work Phone # : - - Ext.
Fax # : - -
E-Mail Address:
Date of Birth*: 19
Special Occasions:
(weddings, golden annv.)
Handicap Needs/Medical Needs :
Marital Status:
Profession:
   
Section 2: Cabin Selection
Please choose your cabin accommodations. We will contact you to confirm the price and availability of your selection.

  • Select your top three choices from the category list below.
1. Category*:   Deck*:   Price*:      
2. Category*:   Deck*:   Price*:      
3. Category*:   Deck*:   Price*:      

  • Please list the legal name and birthdate of each roommate.

* Note: You are required to fill in at least one roommate below.
Last: First: Middle: / /
Last: First: Middle: / /
Last: First: Middle: / /
Last: First: Middle: / /
  • If your roommate(s) is/are paying separately, your roommate(s) must also complete a Registration Form. Are you paying for your roommates?
* Yes No
 
Section 3: Dining Preference
* Early Seating (6:15pm) Late Seating (8:15pm)
 
Section 4: Emergency Contact Information
Full Name (first, last )*:
 
Phone Number *:
 
Section 5: Deposit & Payment Information
A NON-REFUNDABLE deposit of $100 per person is required to reserve a cabin.

Several payment options are available*. You may pay by credit card, debit card, personal check, or cashier’s check. There are also different payment plans from which to choose. Please select a payment plan from the options listed below.

Please Note: The balance (after deducting the deposit) will be divided into equal monthly payments for the number of months you select. The monthly installments begin one month after the deposit is received. The installments will continue each month until the balance is paid in full.

Plan:
Description:
Initials*:
A
One Full Payment
The total cost of the cabin.
B
One Installment
$1,000 deposit and one installment.
C
Two Installments
$1,000 deposit and two installments.
D
Three Installments
$1,000 deposit and three installments.
E
Four Installment
$1,000 deposit and four installments.
Your initial gives us authorization to process your deposit and monthly payments.

*
Section 6: Payment
Method of Payment*:
Credit Card Type:
Credit Card Number (no dass ) : Exp. Date: /
Name as it appears on Card:
 
Billing Information*: Same as above
If mailing a check/money order/cashier's check: Mail to:
Address:
Tom Joyner Foundation, Inc.
City:
Fantastic Voyage 2006
State:
13760 Noel Rd. Suite 750
Zip Code:
Dallas, Texas 75240-7336
Section 7: Cancellation Policy
The deposit is NON-REFUNDABLE. Refunds will be calculated as a percentage of your total payments after deducting the deposit. For example, if you paid $6,000 for double occupancy and you cancel before November 30, 2005, you will receive a refund of $3,600. This was calculated as follows. Total payments of $6,000 minus $2,000 ($1,000 deposit per person) equal $4,000. Ninety percent of $4,000 equals $3,600. The cancellation percentages and dates the percentages are in effect are listed below:
Cancellation Date
Refund %
Before November 30, 2005
90%
December (1-31) 2005
70%
Jan. 1- Feb. 29, 2006
50%
March (1-31) 2006
30%
After March 2006
0%
Section 8: Cancellation Insurance
We strongly encourage you to purchase cancellation insurance. Please call us at 1800-878-6392 for more information.
 

You're Almost DONE!

A Newarc Travel Representative will confirm your information and category before your deposit is processed.

Registration forms are processed on a first come basis, thus, we can not guarantee that your category selections will still be available.

When you submit this form, you will receive an e-mail of your completed registration form. Thanks and Enjoy the Cruise!!!!!!!



 
 
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