Date: ________________________________

Pick up Time: __________________________

Name: ________________________________

Hotel: _________________________________

Number of Pax: __________________________

Type of Cruise: __________________________

Credit Card Info
Card Number: _________________________________

Expiration Date: ________________________________

CV: ________________________________

Address on Card: _____________________
___________________________________
Tel: ________________________________
Email: ______________________________

Amount to be charged ___________
Tip: Captain ___________
Crew: ___________
Total: ___________

Food order: _______________________
________________________________
________________________________
Special Request:: ___________________
________________________________
________________________________

I _________________________ authorize Kenard Cruises Ltd to charge my credit card for the amount stated above, in US currency, for the above-mentioned service/s offered to us by Kenard Cruises Ltd on the said date. I am aware of their cancellation policy, and agree to the terms and conditions there in.

Signature: _____________________

Date: _____________________