Travel consultant:  Nikki's Celestial Travel       Brooklyn AIDS Task Force Fundraiser

              Carnival Cruise Lines –“Dream”

DREAM 11/23/2009                RESERVATION/REGISTRATION FORM

Please include a copy of this form with each payment

*Passenger’s (Legal) Name (print):  _____________________________________ Date of Birth: ____________________

*(As it appears on identification being used to travel with ex: passport, driver’s license)

Address: _____________________________________________________________ Apt. # _____________________

                City _________________________ State ______________________________ Zip Code _________________

Telephone: ______________________________ e-mail: ___________________________________________________

*Other passenger(s) Legal Name & Date of Birth: (1) ______________________________________________________

(2) _______________________________________________ (3) _____________________________________________

*All guests under the age of 21 must be accompanied by a parent, relative or guardian 25 years or older, in the same cabin.  Infants must be at least 4 months old to be eligible to travel.    

Are you a US Citizen? ( ) YES   ( ) NO – IF NO, What Country?  ______________________________________________

(Please be advised that you must carry with you proof of US Citizenship.  A valid passport is required for all travelers (citizens and non-citizens).  If you are not a US citizen, it is your responsibility to check with the Tourist Office & Consulate of the countries you will be visiting to determine the necessary documentation required to travel.

Any medical/dietary conditions/needs that the cruise line should be aware of? _____________________________________

CSATravel Protection information available upon request. **It is strongly recommended that you purchase Vacation Protection Insurance for your protection.

I would like CSA Travel Protection _______  I would not like CSA Travel Protection ______

EACH PASSENGER (ADULT) MUST COMPLETE AND SIGN A CRUISE RESERVATION FORM

Name (Signature) ________________________________________________   Date: ____________________

Please return this form with your check/money order payable to: 
  Brooklyn AIDS Task Force
Attn: Victor Uwakwe
502 Bergen Street
Brooklyn, NY 11217

Credit card payments also accepted.  **If paying for credit card, call 718-622-2910 Ext. 114/115 for authorization form**