FIESTA TRAVEL DESIGNS
Basic Registration Form - Good for Any Cruise We Offer
This information comes directly to us by email. If you want to confirm that
we've received this info, text to 318-348-1034 (Diane Gaines).
*Required field
Your name
as written on
drivers license,
passport, or I.D.:
*
Full Address,
Include City,
State and Zip
:
*
*
Home Phone:
Cell Phone:
*
Date of Birth:
Your email
address:
*
Which cruise are
you registering for?
(include dates)
*
How did you find out
about this cruise?
Type of Cabin
Requested:
(Inside, Oceanview,
Balcony, or Suite)
*
*
Cost of Cruise:
Your cabinmate:
(if known at this time)
Include Date of Birth
PAYMENT INFORMATION: Initial deposit consists
of a non-refundable $25 per person check made
payable to Fiesta Travel Designs....Plus, the
remainder of deposit to be paid by credit/debit card.
Type of Credit Card:
(VISA, Master Card,
American Express,
Discover)
Credit Card Number:
Expiration Date and CVV
Code on back of card:
Name on Card:
Amount to be charged:
Indicate $ amount
PLEASE PROVIDE THIS INFO IN SPACE BELOW:

1) If you did  not include CVV code above (with Exp. Date), you may TEXT it to
Diane at (318) 348-1034. Include your name with text.

2) Do you prefer  late dining (8:15pm), or "Anytime Dining" (5:45 - 9:30 p.m.)
(Anytime dining means you will not be assigned a specific table...and will not dine with the
same guests each night. However, this option affords more flexibility for working
around onboard shows, etc.)

3) Do you want Travel Insurance?

4) Do you want to Pre-Pay  your Gratuities?

5) Give emergency contact Information for you and your cabinmate:
(Name & Phone Number & Relationship of contact person - this person cannot be
traveling with you)

6) Do you have any special medical needs?
(Wheelchair, scooter, are you diabetic?, must be near elevator due to walking restrictions etc.)

7) Please note: if your billing address for your credit or debit card is different from your
home address given above, please include your BILLING address in this space also.

Note: This online form must be filled in for each person traveling,
unless cabinmate info is included in section below.
(Name, Date of Birth, Address, Phone#, & Payment Info)
For Deposit: You must mail a check for $25 per person made payable to
Fiesta Travel Designs, 705 Wheelis Street, West Monroe, LA, 71292
This $25 per person is NON-REFUNDABLE.
The remainder of the deposit must be paid by Credit/Debit Card and
will charged to the above card at time of booking.

All information on this form comes directly to Diane Gaines via email