AAC:
305-385-8657
CRUISE RESERVATION SHEET
I. BOOKING INFORMATION
Individual
Reservation # Group
Group#
Booking Date
Cruise LineShip
Sail Date
# of NightsItinerary
Cruise Consultant
Send Invoice
Brochure
Mail Documents to: Client
Consultant Pier
Pick-up CrL to
Client
II. CLIENT INFORMATION
Email Address:
Referral Source:
Club Member Y
N Company
PAX 1
DOB PAX 2
DOB
PAX 3
DOB PAX 4
DOB
PAX 5
DOB
Address
City State
Zip
Telephone - Day
Evening Cell/Mobile
Cabin Type: Interior
Ocean view
Balcony Suite
Category Cabin#
Dining: 1st
2nd Open
Table: Small
Large
Smoker: Y
N
Citizen: Y
N
Special Occasion:
III. NOTES
IV. RATE INFORMATION
3rd/4th/5th Fare:
Totals:
Gross Fare:$X=$X=$
Gross Fare:$
DiscountX=
X=
$ Discount:
Sub Total: $X=$$X=$
Sell Price: $
Non Commission: X
Non Commission:
Additional
Charges:
Gateway
Add'l Charges:
Airfare: X=
Grand Total:$
Cruise Insurance:X=
Deposit:$
Access (America Insurance:
See Below) Type of Package:
Balance:$ V
Packages:X=
Deposit$
Total Additional Charges: $
Balance:$
COMMISSION INFORMATION (Do not include
Acces America Commission - See Below)
Cruise Commission:$(+)Bonus
Commission=Total Cruise Comm $
(-)Discount(+)Comm
Add'l Charges=Agency Comm $
(-)Gift=Net
Agency Comm $
Consultant Comm $
V. PAYMENT INFORMATION
Transaction: Deposit $Add'l
Deposit $ Final
Payment $
Refund $ Date:
Amount $
Cash
Check Money
Order #
Name:
Credit Card: AMEX
VISA MC
DISC OTHER
Cardholder Exp Date
Cruise Line Rep*(Reservation payment
log for additional transactions)
VII. ACCESS AMERICA INSURANCE
Date:
Representative
Travel with Ease
Deluxe
Total Paid $
Policy # Comm $
Consultant Comm $
AGENTS ONLY