Fill out the form below and fax to (916) 577-1909 to complete your booking. Upon receipt of your fax, we will mail you a written confirmation.

I authorize Anchors Away Cruise Center or Anchors Away Travel, to charge my credit card for the DEPOSIT or FINAL (please circle one) payment of my cruise/vacation package in the total amount of

$________________________

I am paying for the following guests: (Exactly as they appear on Passport or Birth Certificate):

1)____________________________________________ 2)______________________________________

3)____________________________________________ 4)______________________________________

5)____________________________________________ 6)______________________________________

________ Initial here to receive information on travel insurance, or here_________ to decline.

________ Initial here to indicate that you understand and accept all terms and conditions.

________ Initial here if you would like Anchors Away to automatically charge the same credit card for final payment.

Credit Card Type: (please circle) VISA, MasterCard, American Express, Discover

Cardholder's Name (as it appears on card):__________________________________________

Card Number:_____________________________________________ Exp. Date:___________

Cardholder's Signature:_____________________________________ Date:________________

Cardholders Billing Address:_____________________________________________________

___________________________________________________________________________

Day telephone:_________________________ Evening telephone:________________________

Anchors Away Cruise Center/Anchors Away Travel
Terms and Conditions

The terms and conditions below are the sole contract between Anchors Away Cruise Center/Anchors Away Travel located at 3702 Independence Place - Rocklin, CA and the vacation travel participant(s). Payments for air passage and / or cruise vacation packages are accepted by Anchors Away only with the understanding that the participant(s) has been made aware of, and agrees to all terms and conditions of this agreement prior to sending Anchors Away such payments.

FINAL PAYMENT: We must receive your final payment by the date on your invoice. Payments received more than 10 days late will be subject to cancellation. Rebooking of your reservation will be at the prevailing rate. We will not honor the original rate if your payment is past due.

TRAVEL INSURANCE (Optional, but recommended)
Travel insurance provides you with financial protection if your trip is cancelled, interrupted or delayed due to certain qualifying events. Travel insurance costs extra, but can provide peace of mind. Anchors Away can provide you with an insurance quote or additional travel insurance information upon request. Many different kinds of travel insurance policies are available from different insurance companies (none affiliated with Anchors Away). Anchors Away recommends that the vacation participant(s) consider the Trip Purchase Protection insurance offered by Travelex Insurance®, a leading company in the field. You may find a brief summary of the financial protection provided by Travelex Insurance by visiting their website at www.travelex-insurance.com or calling Anchors Away direct at 888 516-6306

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By signing below you certify that you have read, and agree to abide by, all of the terms and conditions contained in this agreement. All reservations must have this signed form faxed to:

Anchors Away Cruise Center
3702 Independence Place - Rocklin, CA 95677
Toll Free: 888 516-6306 Fax Number: (916) 577-1909

Signature:_____________________________________________ Date:_________________