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Printable PDF - University of Maryland

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RESERVE YOUR GREEK ISLES ODYSSEY CRUISE TODAY<br />

CALL NOW!<br />

301-405-7938<br />

SEND TO:<br />

<strong>University</strong> <strong>of</strong> <strong>Maryland</strong> Alumni Association<br />

Samuel Riggs IV Alumni Center<br />

Attn: Angela Dimopoulos<br />

College Park, MD 20742<br />

UNIVERSITY OF MARYLAND<br />

ALUMNI ASSOCIATION (300)<br />

May 14 –22, 2014<br />

Class<br />

Year<br />

Email Mail Both<br />

<br />

CRUISE PROGRAM WITH AIRFARE Please indicate preferred departure city: __________________________<br />

CRUISE PROGRAM ONLY<br />

Stateroom/Suite category requested: 1st choice _____________ 2nd choice _____________<br />

Bed request: Twin (2 beds) Queen<br />

Single and Triple accommodations are an additional cost and subject to availability.<br />

Request: Single Triple<br />

Please reserve _____________ space(s) for the GO NEXT ATHENS PRE-CRUISE PROGRAM,<br />

$749 per person, double occupancy. Single occupancy is $1,099 and subject to availability.<br />

<br />

Full Name (as it appears on your passport)<br />

First Middle Last Title<br />

M<br />

Birth Date<br />

F (MM/DD/YYYY) <br />

Preferred name on name badge<br />

Citizenship<br />

Full Name (as it appears on your passport)<br />

First Middle Last Title<br />

M<br />

Birth Date<br />

F (MM/DD/YYYY) <br />

Preferred name on name badge<br />

Citizenship<br />

Email Address<br />

Mailing Address<br />

City State ZIP<br />

Home Phone Cell Phone <br />

Oceania Cruises Club Number (past cruise travelers only)<br />

Roommate (if different from above)<br />

Adjacency Request<br />

INCLUDING PARENT/GUARDIAN FOR MINOR<br />

CHILDREN: I/We have read, received a copy <strong>of</strong>, understand, and accept the terms and conditions stated in the<br />

Operator/Participant Agreement.<br />

<br />

<br />

A deposit <strong>of</strong> $850 per person (plus a $200 deposit per person for each Pre- and/or Post-<br />

Cruise Program, if applicable) is due with your reservation application. Make checks payable to . Full payment is required<br />

by February 3, 2014. Reservations received after this date must be accompanied with full payment.<br />

Please reserve _____________ space(s) and enclosed is my/our deposit for $_____________________.<br />

Deposits may also be made by credit card; however, <br />

_____________________ Visa MasterCard<br />

Name (as it appears<br />

on your credit card) ____________________________________________________________________________________<br />

<br />

Billing address<br />

______________________________________________________________________________ same as above<br />

Billing Address<br />

(if different from above) _________________________________________________________________________________<br />

Card<br />

Number _________________________________________________________ Security<br />

Code ____________ Exp.<br />

Date _____|______<br />

Making a deposit or acceptance or use <strong>of</strong> any vouchers, tickets, goods, or services shall be deemed consent to<br />

and acceptance <strong>of</strong> the terms and conditions stated in the applicable Operator/Participant Agreement, including<br />

limitations on responsibility and liability.

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