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    Melanin Soul Sistahs Sea Cruise Registration Form

    Enter your name as listed on your government issued ID/passport.
    *If you have a middle name or initial on your passport, please enter it with your first name in the FIRST NAME box. If you are a Jr., III, etc. enter it with your last name in the LAST NAME.
    Please enter the billing address for the credit card being used to make this payment.
    If you have been working with a particular travel consultant or referring agent, please select his/her name from the dropdown list.
    How many people will be staying in your room/cabin?
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    Enter your roommate(s) legal names as they appear on their government issued ID/passport.
    You have the option of purchasing travel insurance. We are NOT insurance agents, however, we work with insurance agencies that would be happy to help with all your travel insurance needs.
    ​Please advise if you need a handicap accessible room or wheelchair assistance at the airport. Note in the comment section below.
    Please list any additional questions or comments here.
    One of our travel professional will contact you within 24 hours to take your payment.
Submit
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Effective September 1, 2022 late fees will be increased to $25 per person, per occurrence. ​

​Pineapple Dream Vacations, Inc. | (312) 344-3656
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