Name on Passport or Photo ID ___________________________________________

Name you would like on name tag _____________________________ Age ______

Address ________________________________________________________________

City ______________________________ State __________ Zip _______________

Bus Phone ______________________ Home Phone ____________________________

Email address __________________________________________________________

I (we) have sailed previously on the KT & Friends Cruise:    Yes    No

Where did you hear about the cruise? ___________________________________

Enclosed is my deposit for __________ passengers x $450 = $ ____________

All passengers for this reservation:
Legal Name / Nametag Name                                    Age

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

Please list two cabin choices in the event your 1st choice is unavailable.

1st Choice Category _______________  2nd Choice Category _______________
We all dine together at the late dinner seating. Please choose one option
that would best suit you. Dining Options, please check one:

_____ OPEN SEATING - I (we) would like the opportunity to sit at a
      different table each night and meet new people.

_____ ASSIGNED SEATING - I (we) would like to be at the same table
      each night.

Special Requests: ______________________________________________________

________________________________________________________________________