BOOKING FORM FOR GROUP TRAVEL

DELESANDRI TOURS  281-535-5703, FAX 281-538-6634

NAME AND DATE OF TRIP

LARRY JOE TAYLOR   Coastin’ and Cruisin’ Jan 3-8, 2004

SHIP

Carnival Celebration to Cozumel and Calica/Cancun, Mexico

TODAY’S DATE

Name on your driver’s license

1                                                  T SHIRT SIZE ____

2                                                  T SHIRT SIZE ____

Address

City, State, Zip

Phone

Hm                                                Wk

E-mail Address

(please print clearly)

Date of Birth

1                                                    2

Emergency phone #

# of years you have been LJT’s cruise

Inside cabin Riviera Deck

$495 pp, do

3^rd, 4^th inside $325 pp

3                                                    4

DOB:                                            DOB:

T-Shirt Size ___                           T-Shirt Size ___

Outside cabin Riviera Deck

$545 pp, do

3^rd, 4^th outside $355 pp

3                                                    4

DOB:                                            DOB:

T-Shirt Size ___                           T-Shirt Size ___

CREDIT CARD #

NAME ON CREDIT CARD

EXPIRATION DATE

CHECK NUMBER AND AMOUNT

Early or late dinner