Alaskan Explorer Reservation Form June 28 - July 5, 2015 Roundtrip Seattle Legal (passport) Names (first & last) ___________________________________________________________________ Preferred name on badge (first only) ___________________________________________________________________ Address __________________________________________________________________________________________ City _____________________________________________________ State _______________ Zip _________________ Telephone: _____________________________________ Email:_____________________________________________ Cabin category: ________________________ Queen bed Twin beds General Information I/we understand that a valid (until Jan 6, 2016) passport is required_________________________________ (please sign) I / we have sailed with Holland America before: Yes No Deposit due at time of booking: I am / we are enclosing a deposit of $ 350.- per person by check or credit card: □ AMEX Cards accepted: □ Master Card □ VISA □ DISCOVER Card number ____________________________________________________________ Exp.Date:________________ Name on card____________________________________________________________________________________ Final payment due April 8, 2015 Air Transportation □ Please provide air transportation from __________________________________________ (airfare is NOT included) □ I / we will arrange my/our own air transportation □ I / we will arrange my/our own transfers to and from the ship □ I / we are interested in the America’s Classic Jazz Festival in Olympia, WA (June 26-28, 2015) Dining Option Dining option 1: Second seating at 8:00pm □ Our group and musicians are scheduled to dine at 8:00pm Table size: 2□ 4□ 6□ 8□ I/we would like to dine with________________________________________________________________________ Dining option 2: First seating at 5:45pm □ Keep in mind that you will miss some Jazzdagen Performances Dining option 3: Open Dining □ Please advise of any Special Celebrations during this cruise:_______________________________________________  800 433 0078 • fax: 323-650-0950 • PO Box 1266 Studio City CA 91614 • Jazzdagen@aol.com