Guest Information Form

 

 

Please print and complete the information on the form below. Mail it in with the registration form and we will enter the online registration information for you.        

 

Mail to:

PR Augusta, LLC

709 Woodgate Ct.

Augusta, GA 30909

706-364-6236

email: praugusta@knology.net

 

 

 Passenger  information Form:

 

Prior to boarding a ship, each passenger must have filled out and submitted this information due to increased security measures. Please fill out this information for each passenger booked and mail with registration form.

 

Information Needed

Passenger 1

Passenger 2

Title (Mr. Mrs. Dr.)

 

 

Gender

 

 

First Name on Passport

 

 

Middle Name

 

 

Last Name

 

 

Occupation

 

 

Marital Status

 

 

Date of Month born

 

 

Month born

 

 

Year born

 

 

Country of birth

 

 

Country of Citizenship

 

 

Passport Information

 

 

Passport Number

 

 

Where issued

 

 

Date passport expires

 

 

State Born

 

 

State of Drivers License

 

 

Personal Information

 

 

Home address

 

 

City or Town

 

 

State

 

 

Zip

 

 

Country

 

 

Daytime Phone

 

 

Cell Phone

 

 

Contact fax #

 

 

E-mail address

 

 

Emergency    Contact

Information

 

EMERGENCY CONTACT

 

 

First Name

 

 

Last Name

 

 

Daytime phone #

 

 

E-mail address

 

 

Relationship to you

 

 

Cruise History

 

 

Is this your 1st cruise?

Yes          No

Yes         No

If no, how many times have you cruised?

 

 

Have you cruised with RCCL before?

Yes           No

Yes          No

If yes, how many times?

 

 

Crown and Anchor Society Membership #