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AEA CRUISE SEMINARS BOOKING FORM
• This form MUST be completed and faxed/mailed to AEA Cruises by Passengers)
• One form must be complete for each cabin booked.
• Incomplete forms or forms without payment will be returned
Which seminar do you wish to book? (Example: Alaska, Month/Day/Year, #Days):
_______________________________________________________________
How did you hear about this cruise? AEA mailing __ AOA Ad __ CJO Ad __ Internet __
Colleague/friend __ Alumni Assn (which one?) __________ Other (please specify) ___________
Passenger Names: Full legal name (names) as they appear on individual’s passport
(if traveling with children, please indicate their age). Include your member number if you are past
passengers of the cruise line.
1_____________________________________________________________________
2_____________________________________________________________________
3_____________________________________________________________________
4_____________________________________________________________________
Passenger Address(es)….**Note: all mailings/info will be sent to address 1**
Mark “same” for passengers 2-4, if all passengers have same address.
1____________________________________________________________________
2_____________________________________________________________________
3_____________________________________________________________________
4_____________________________________________________________________
Office Phone _____________________ Home Phone ____________________
FAX___________________ Email Address____________________________________
Cabin preference: please list type & category 1st choice________________________
2nd choice_____________________
Do you desire a specific cabin or a specific room location? (Every effort will be made to
fulfill your preference)_______________________________________________________
AIR TRANSPORTATION
Do you want airfare booked through the cruise line added to your cruise reservation?
___ YES ___ NO
**AEA Cruises is not liable for any costs incurred when: air is booked independently
by passenger or customized, and/or seminar is cancelled due to lack of participation.**
Passenger / Air from what city? / If more than one airport in your city, which airport?
1________________________________________________________________________
2________________________________________________________________________
3________________________________________________________________________
4________________________________________________________________________
TRANSFERS: Do you want transfers to/from the ship?
To ship only: ____From ship only:____ Round-trip:_______
TRAVEL INSURANCE?
Highly recommended; especially if there is any chance that you might cancel your cruise
during the penalty period! Please call or visit the cruise line website for applicable rates/terms.
___ I would like STANDARD Insurance
___ I would like PREMIUM Insurance
pg2
DINING OPTIONS (Options may vary depending on cruise line)
___ Anytime Diningsm (Princess only - dinner anytime from 5:30p-10:00pm)
___ Traditional Fixed Seating Dining, FIRST Seating (Dinner at 6:00pm)
___ Traditional Fixed Seating Dining, SECOND Seating (Dinner at 8:15pm)
NOTE: If you have chosen Traditional Dining and are traveling with friends/family
who are not in your cabin and you want to sit with them at dinner, please list all their
names below.
1__________________________________________3________________________________
2__________________________________________4________________________________
BEDDING OPTIONS:
___ Two Twin Beds ___ One Queen Size Bed
SPECIAL OCCASION(S) (check one): ___ Birthday ___ Anniversary ____ Honeymoon
Name ____________________ Date ______________________
Please visit cruise line website for descriptions and prices of available packages.
PRE- & POST-CRUISE HOTEL PACKAGES?:
City?__________________ Number of Nights?_______
Hotel? 1st choice: ____________________________
2nd choice: ____________________________________
Please visit cruise line website for descriptions, conditions and prices.
SEMINAR FEE: Payment must accompany booking form. Otherwise, this form will not be
processed.
• A US$50 processing fee will be charged any cancellations, after payment and up to
75 days prior to date of departure. After that date, the seminar fee is nonrefundable.
No reduced fee for partial attendance. Occasionally, ‘bonus’ lectures COPE and
non-COPE may be included at no additional cost.
7-10 DAY CRUISES: 10 hours of COPE approved lectures: $400 (AEA Alumni $300)
Name______________Amount paid:$____ Alumni of which previous Cruise Seminar(s)?___________
12 + DAY CRUISES: 12 hours of COPE approved lectures: $480 (AEA Alumni $380)
Name______________Amount paid:$____ Alumni of which previous Cruise Seminar(s)?___________
A check made out to “AEA Cruises,” number ______ is enclosed for $_________
(US currency only)
Mail check to AEA Cruises, 5872 N. Milwaukee Ave., Chicago, IL 60646
-OR-
___ Charge my credit card (MasterCard/Visa only) for seminar fee(s)
(check one): ___ MC ___ Visa
Number: ____________________________________ Exp: ________ Sec Code_______
Signature: ________________________ Name on card: _________________________
Charges will appear as “AEA Cruises”
pg 3
CRUISE DEPOSIT: ALL PAYMENTS FOR THE CRUISE FARE (DEPOSITS AND FINAL
PAYMENTS) MUST BE MADE BY CREDIT CARD.
Princess Cruises: 20% of cruise fare. AMA Waterways: $400 per person.
• Once a deposit is made: IF at any time A RESERVATION IS CANCELED, A US $50
per cabin WILL BE WITHHELD by AEA Cruises. In addition, the cruise line may also
charge penalties for cancellation or for ticketing changes.
Charge my credit card (check one): ___ MasterCard ___Visa ___ Discover ___ AmX
(***The credit card # you list below will be used for both the deposit and the final payment
when due, UNLESS you inform us, in writing, 2 weeks or more prior to the final payment due
date***)
For a cruise deposit of $___________.
Number: ________________________________ Exp: __________ Sec Code________
Signature: ___________________________ Name on card _______________________
Charges will appear under the name of the applicable cruise line.
Mail or fax booking form to: AEA Cruises
5872 N. Milwaukee Ave.
Chicago, IL 60646
Fax: 773-594-0017
CONFIRMATION OF YOUR BOOKING AND REGISTRATION WILL BE FAXED/MAILED.
Please check for any mistakes, omissions or misspellings. Please note final payment date.
Any omissions/mistakes on this form are the sole responsibility of the attendee/passenger.
AEA Cruises and/or any associates are not liable for any omissions or mistakes entered
above by the passenger(s) In case of emergency, speakers may be changed without notice.
OUR FAX # IS 773-594-0017, OUR VOICE NUMBER IS 888-638-6009 OR 773-594-9866
• This form MUST be completed and faxed/mailed to AEA Cruises by Passengers)
• One form must be complete for each cabin booked.
• Incomplete forms or forms without payment will be returned
Which seminar do you wish to book? (Example: Alaska, Month/Day/Year, #Days):
_______________________________________________________________
How did you hear about this cruise? AEA mailing __ AOA Ad __ CJO Ad __ Internet __
Colleague/friend __ Alumni Assn (which one?) __________ Other (please specify) ___________
Passenger Names: Full legal name (names) as they appear on individual’s passport
(if traveling with children, please indicate their age). Include your member number if you are past
passengers of the cruise line.
1_____________________________________________________________________
2_____________________________________________________________________
3_____________________________________________________________________
4_____________________________________________________________________
Passenger Address(es)….**Note: all mailings/info will be sent to address 1**
Mark “same” for passengers 2-4, if all passengers have same address.
1____________________________________________________________________
2_____________________________________________________________________
3_____________________________________________________________________
4_____________________________________________________________________
Office Phone _____________________ Home Phone ____________________
FAX___________________ Email Address____________________________________
Cabin preference: please list type & category 1st choice________________________
2nd choice_____________________
Do you desire a specific cabin or a specific room location? (Every effort will be made to
fulfill your preference)_______________________________________________________
AIR TRANSPORTATION
Do you want airfare booked through the cruise line added to your cruise reservation?
___ YES ___ NO
**AEA Cruises is not liable for any costs incurred when: air is booked independently
by passenger or customized, and/or seminar is cancelled due to lack of participation.**
Passenger / Air from what city? / If more than one airport in your city, which airport?
1________________________________________________________________________
2________________________________________________________________________
3________________________________________________________________________
4________________________________________________________________________
TRANSFERS: Do you want transfers to/from the ship?
To ship only: ____From ship only:____ Round-trip:_______
TRAVEL INSURANCE?
Highly recommended; especially if there is any chance that you might cancel your cruise
during the penalty period! Please call or visit the cruise line website for applicable rates/terms.
___ I would like STANDARD Insurance
___ I would like PREMIUM Insurance
pg2
DINING OPTIONS (Options may vary depending on cruise line)
___ Anytime Diningsm (Princess only - dinner anytime from 5:30p-10:00pm)
___ Traditional Fixed Seating Dining, FIRST Seating (Dinner at 6:00pm)
___ Traditional Fixed Seating Dining, SECOND Seating (Dinner at 8:15pm)
NOTE: If you have chosen Traditional Dining and are traveling with friends/family
who are not in your cabin and you want to sit with them at dinner, please list all their
names below.
1__________________________________________3________________________________
2__________________________________________4________________________________
BEDDING OPTIONS:
___ Two Twin Beds ___ One Queen Size Bed
SPECIAL OCCASION(S) (check one): ___ Birthday ___ Anniversary ____ Honeymoon
Name ____________________ Date ______________________
Please visit cruise line website for descriptions and prices of available packages.
PRE- & POST-CRUISE HOTEL PACKAGES?:
City?__________________ Number of Nights?_______
Hotel? 1st choice: ____________________________
2nd choice: ____________________________________
Please visit cruise line website for descriptions, conditions and prices.
SEMINAR FEE: Payment must accompany booking form. Otherwise, this form will not be
processed.
• A US$50 processing fee will be charged any cancellations, after payment and up to
75 days prior to date of departure. After that date, the seminar fee is nonrefundable.
No reduced fee for partial attendance. Occasionally, ‘bonus’ lectures COPE and
non-COPE may be included at no additional cost.
7-10 DAY CRUISES: 10 hours of COPE approved lectures: $400 (AEA Alumni $300)
Name______________Amount paid:$____ Alumni of which previous Cruise Seminar(s)?___________
12 + DAY CRUISES: 12 hours of COPE approved lectures: $480 (AEA Alumni $380)
Name______________Amount paid:$____ Alumni of which previous Cruise Seminar(s)?___________
A check made out to “AEA Cruises,” number ______ is enclosed for $_________
(US currency only)
Mail check to AEA Cruises, 5872 N. Milwaukee Ave., Chicago, IL 60646
-OR-
___ Charge my credit card (MasterCard/Visa only) for seminar fee(s)
(check one): ___ MC ___ Visa
Number: ____________________________________ Exp: ________ Sec Code_______
Signature: ________________________ Name on card: _________________________
Charges will appear as “AEA Cruises”
pg 3
CRUISE DEPOSIT: ALL PAYMENTS FOR THE CRUISE FARE (DEPOSITS AND FINAL
PAYMENTS) MUST BE MADE BY CREDIT CARD.
Princess Cruises: 20% of cruise fare. AMA Waterways: $400 per person.
• Once a deposit is made: IF at any time A RESERVATION IS CANCELED, A US $50
per cabin WILL BE WITHHELD by AEA Cruises. In addition, the cruise line may also
charge penalties for cancellation or for ticketing changes.
Charge my credit card (check one): ___ MasterCard ___Visa ___ Discover ___ AmX
(***The credit card # you list below will be used for both the deposit and the final payment
when due, UNLESS you inform us, in writing, 2 weeks or more prior to the final payment due
date***)
For a cruise deposit of $___________.
Number: ________________________________ Exp: __________ Sec Code________
Signature: ___________________________ Name on card _______________________
Charges will appear under the name of the applicable cruise line.
Mail or fax booking form to: AEA Cruises
5872 N. Milwaukee Ave.
Chicago, IL 60646
Fax: 773-594-0017
CONFIRMATION OF YOUR BOOKING AND REGISTRATION WILL BE FAXED/MAILED.
Please check for any mistakes, omissions or misspellings. Please note final payment date.
Any omissions/mistakes on this form are the sole responsibility of the attendee/passenger.
AEA Cruises and/or any associates are not liable for any omissions or mistakes entered
above by the passenger(s) In case of emergency, speakers may be changed without notice.
OUR FAX # IS 773-594-0017, OUR VOICE NUMBER IS 888-638-6009 OR 773-594-9866
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