Credit Card Booking Form

Please complete this form and fax it to our office to finalize your cruise or tour reservation.  A written confirmation will be sent via mail upon receipt of your fax.

Letter of Authorization to Charge Credit Card

I authorize GalaxSea Cruises and Tours to charge the DEPOSIT or FINAL PAYMENT (please circle one or both) of my (our) vacation package in the amount of $_______________ on my Credit Card.

Trip Cancellation Insurance has been offered.  The insurance premium is an additional cost and if accepted will be added to your package and charged to your credit card.  Please contact your cruise counselor for insurance rates.

Please initial:  Insurance Accepted:_________________  OR Insurance Declined:________________

Initial here___________ if you would like GalaxSea Cruises and Tours to automatically charge the same credit card for your final payment at the final payment due date as required by the cruise line and/or tour operator.

Cardholder's Signature:________________________________ Date: ____/____/____/

Cruise/Tour Departure Date:________________ 

Cruise/Tour length:_________________

Air City (if applicable): ___________________

Credit Card Type: (please circle)  MasterCard - Visa - American Express - Discover

Card Number:______________________________________________________

Expiration Data:________________________

Cardholder's name on card:_____________________________________________

City:___________________________ State: ____________  Zip: ______________

Home Telephone:________________________  Work Phone:______________________

Passenger's Legal Names
(As appear on Passport or Birth Certificate)

Passenger 1________________________________________________________________________

Passenger 2________________________________________________________________________

Passenger 3________________________________________________________________________

Passenger 4________________________________________________________________________

Passenger 5________________________________________________________________________

$50 per person for cancellations OR changes made outside the final payment due date for the cruise line and/or tour operator.  Cancellations made after the final payment due date are subject to a cancellation fee of 15 percent of the total cost of the package PLUS any applicable cancellation charges assessed by the cruise line or tour operator.  Cancellation penalties are not waived under any circumstances!  Cancellation insurance is strongly recommended.  No refund is offered for unused or partially used services.

Travel Documentation

U.S. citizens are required to have either a passport or birth certificate with a photo id at the time you board the ship.  If you are flying to the ship and or start of your tour package, you will be required to show a photo id at the time you board the aircraft.

Non-U.S. Citizens are required to have a valid passport AND a multiple re-entry visa. 

Passengers denied boarding because of improper documentation will receive no refund.

GalaxSea Cruises and Tours
3088 Temple Avenue, Pomona CA 91766-6817

I have read and agree to all of the terms and conditions above.
Reservations will not be processed without signed form fax to:
(909) 397-5453

Name (signed): ________________________________________   Date: ____________________

Shipping Address

Your cruise and/or tour documents (tickets) will be sent via either Priority Mail or AirBorne Express approximately 2 - 3 weeks prior to your departure.  Please fill out this form completely and fax it back to GalaxSea Cruises and Tours.

Company ___________________________________________________________________

Street Address _______________________________________________________________

City _________________________________  State _________    Zip  __________________

Country ___________________________________

Attention to _________________________________________________________________

Phone number _______________________________________________________________