Booking Form

Cabin Numbers will be assigned once your payment clears. Please contact us at any time with questions.
Specific Cabin (location) choices can be made by contacting us. More info on Specific Cabins

If you Book prior to January 23, 2013: $500 Per Cabin is due at time of Booking
If you Book on or after January 23, 2013: Full Payment is due at time of Booking

Booking period ends Monday, April 8, 2013
No cancellation penalty until February 2013

PLEASE NOTE: The Cruise Lines change their pricing without notice. Prices listed on this page are updated as often as possible, and may not be current. Any change in fare when you book will be communicated to you on your Invoice and prior to you making Final Payment. You may cancel your cruise at any time, prior to Final Payment without penalty.

Online Booking Form
One (1) form per cabin

PRICING and CABIN CHOICES
Note: If there is a cabin that you are interested in, that is not listed below, please contact us.
     Flexible Payment Plans
     Want a Specific Cabin (deck, location, etc)?
     Children Pricing & Infant Credit Information

Interior Stateroom No Window - Category Q* Sleeps 2 Passengers* Cabin Picture 158 sq ft
2 passengers

Prices are per Passenger
1st	2nd	3rd	4th	5th	6th
Queen or 2 Twin Beds
$549.00 (Cruise Fare)	$549.00 (Cruise Fare)	Contact Us or Book additional cabins	Contact Us or Book additional cabins	Contact Us or Book additional cabins	Contact Us or Book additional cabins
Tax/Fees - Between $100 - $125 per person, depending on cruise line rate when booking is made.

Interior Stateroom No Window - Category K Sleeps 2 to 4 Passengers Cabin Picture 158 sq ft
2 passengers 3 passengers 4 passengers
Connecting Cabins may be Available, contact us
Prices are per Passenger
1st	2nd	3rd	4th	5th	6th
Queen or 2 Twin Beds		Pullman (Upper Bunk)	Pullman (Upper Bunk)
$679.00 (Cruise Fare)	$679.00 (Cruise Fare)	$379.00 (Cruise Fare)	$379.00 (Cruise Fare)	Contact Us or Book additional cabins	Contact Us or Book additional cabins
Tax/Fees - Between $100 - $125 per person, depending on cruise line rate when booking is made.

Oceanview Stateroom w/Window - Category G* Sleeps 2 to 4 Pass* Cabin Picture 169 sq ft
2 passengers 3 passengers 4 passengers
Connecting Cabins may be Available, contact us

Prices are per Passenger
1st	2nd	3rd	4th	5th	6th
Queen or 2 Twin Beds		Pullman (Upper Bunk)	Pullman (Upper Bunk)
$789.00 (Cruise Fare)	$789.00 (Cruise Fare)	$429.00 (Cruise Fare)	$429.00 (Cruise Fare)	Contact Us or Book additional cabins	Contact Us or Book additional cabins
Tax/Fees - Between $100 - $125 per person, depending on cruise line rate when booking is made.

Oceanview Stateroom w/Window - Category F Sleeps 2 to 4 Pass Cabin Picture 169 sq ft
2 passengers 3 passengers 4 passengers

Prices are per Passenger
1st	2nd	3rd	4th	5th	6th
Queen or 2 Twin Beds		Double Sofa Bed
$749.00 (Cruise Fare)	$749.00 (Cruise Fare)	$429.00 (Cruise Fare)	$429.00 (Cruise Fare)	Contact Us or Book additional cabins	Contact Us or Book additional cabins
Tax/Fees - Between $100 - $125 per person, depending on cruise line rate when booking is made.

Family Oceanview Stateroom w/Large Window - Category FO Sleeps up to 6 Cabin Picture 319 sq ft
A minimum of 5 people are required for this category5 passengers 6 passengers

Prices are per Passenger
1st	2nd	3rd	4th	5th	6th
Queen or 2 Twin Beds		Double Sofa Bed		Pullman (Upper Bunk)	Pullman (Upper Bunk)
Contact Us for Pricing and Availability	Contact Us for Pricing and Availability	Contact Us for Pricing and Availability	Contact Us for Pricing and Availability	Contact Us for Pricing and Availability	Contact Us for Pricing and Availability
Queen or 2 Twin Beds		Double Sofa Bed		Pullman (Upper Bunk)	Pullman (Upper Bunk)

Deluxe Oceanview Stateroom w/Balcony - Category E1 Sleeps 2 to 3 Passengers Cabin Picture 160 sq ft Balcony 27 sq ft
2 passengers 3 passengers

Connecting Cabins may be Available, contact us
Prices are per Passenger
1st	2nd	3rd	4th	5th	6th
Queen or 2 Twin Beds		Pullman (Upper Bunk)
$979.00 (Cruise Fare)	$979.00 (Cruise Fare)	$479.00 (Cruise Fare)	Contact Us or Book additional cabins	Contact Us or Book additional cabins	Contact Us or Book additional cabins
Tax/Fees - Between $100 - $125 per person, depending on cruise line rate when booking is made.

Superior Oceanview Stateroom w/Balcony - Category D1 Sleeps 2 to 4 Passengers Cabin Picture 184 sq ft Balcony 53 sq ft
2 passengers 3 passengers 4 passengers

Connecting Cabins may be Available, contact us
Prices are per Passenger
1st	2nd	3rd	4th	5th	6th
Queen or 2 Twin Beds		Double Sofa Bed
$1049.00 (Cruise Fare)	$1049.00 (Cruise Fare)	$479.00 (Cruise Fare)	$479.00 (Cruise Fare)	Contact Us or Book additional cabins	Contact Us or Book additional cabins
Tax/Fees - Between $100 - $125 per person, depending on cruise line rate when booking is made.

Junior Suite w/Balcony - Category JS* Sleeps 2 to 4 Passengers* Cabin Picture 282 sq ft Balcony 74 sq ft
2 passengers 3 passengers 4 passengers

Prices are per Passenger
1st	2nd	3rd	4th	5th	6th
Queen or 2 Twin Beds		Double Sofa Bed
$1149.00 (Cruise Fare)	$1149.00 (Cruise Fare)	$529.00 (Cruise Fare)	$529.00 (Cruise Fare)	Contact Us or Book additional cabins	Contact Us or Book additional cabins
Tax/Fees - Between $100 - $125 per person, depending on cruise line rate when booking is made.

Grand Suite w/Balcony - Category GS* Sleeps 2 to 4 Passengers* Cabin Picture 382 sq ft Balcony 110 sq ft
2 passengers 3 passengers 4 passengers 5 passengers w/Roll-Away Bed

Prices are per Passenger
1st	2nd	3rd	4th	5th	6th
Queen or 2 Twin Beds		Double Sofa Bed		Roll-Away Bed
$1349.00 (Cruise Fare)	$1349.00 (Cruise Fare)	$529.00 (Cruise Fare)	$529.00 (Cruise Fare)	$529.00 (Cruise Fare)	Contact Us or Book additional cabins
Tax/Fees - Between $100 - $125 per person, depending on cruise line rate when booking is made.

Owners Suite w/Balcony - Category OS* Sleeps 2 to 4 Passengers* Cabin Picture 581 sq ft Balcony 188 sq ft
2 passengers 3 passengers 4 passengers 5 passengers w/Roll-Away Bed

Prices are per Passenger
1st	2nd	3rd	4th	5th	6th
Queen or 2 Twin Beds		Double Sofa Bed		Roll-Away Bed
$1899.00 (Cruise Fare)	$1899.00 (Cruise Fare)	$529.00 (Cruise Fare)	$529.00 (Cruise Fare)	$529.00 (Cruise Fare)	Contact Us or Book additional cabins
Tax/Fees - Between $100 - $125 per person, depending on cruise line rate when booking is made.

Royal Suite w/Balcony - Category RS* Sleeps up to 9 Passengers* Cabin Picture 1,233 sq ft Balcony 328 sq ft
A minimum of 5 people are required for this category

1st	2nd	3rd	4th	5th - 9th
Queen or 2 Twin Beds		Queen or 2 Twin Beds		Double Sofa Bed, 2 Pullman (Upper Bunk) & Roll-Away
Contact Us for Pricing and Availability	Contact Us for Pricing and Availability	Contact Us for Pricing and Availability	Contact Us for Pricing and Availability	Contact Us for Pricing and Availability

Cabin Request (Location, Connecting Cabins, etc)
Most of the categories listed above have cabins that connect, which enables two cabins to have the accommodations to sleep up to 8 people. Please state below if you would like Connecting Cabins (and simply fill out this form twice if you have more than 6 people).

State below any specific cabin location (connection) requests

NOTE: Connecting cabins are the first cabins to be booked, and there are only a few of them on each ship.

Other Cabin Choice not listed above There may be other cabins available, please list your request or requirements here:
	2 passengers	3 passengers	4 passengers	5 passengers	6 passengers
We will call you within 24 hours to discuss

* Prices are per person, shown in U. S. Dollars, based on double occupancy and subject to change. Comprehensive trip cancellation and travel protection insurance is available. Ships Registry: Bahamas

If we cannot accommodate your cabin preference, we will contact you before we put your payment through.

Please read our Terms, Conditions and Privacy Policies

Misc. Choices

Travel Insurance

YES, I would like Travel Insurance

        Payment by Credit Card
        The costs are listed below per person.
      Yes, charge my Credit Card (I understand that Insurance charges may be processed
             separately from the Cruise Fare, possibly 2-3 weeks after the processing of my Cruise Fare)
      Yes, call me to verify (pricing and acceptance) prior to charging my Credit Card.

        Payment by Check
        The costs are listed below per person.
    Yes, I will send a check.

NO, I would NOT like Travel Insurance
      No, not at this time (I understand that I may purchase Insurance at another time, either on or before
              Final Payment of my Cruise Fare.

CruiseCare Travel Insurance is provided through Royal Caribbean International. For more information on the Insurance click here

Cruise Fare plus Airfare (if applicable) per person
The Cruise Fare is the rates we have listed above.
The ranges below, DO NOT include tax. Cost of Insurance per person

       $0 USD - $500 USD $29 USD

   $501 USD - $1,000 USD $59 USD

$1,001 USD - $1,500 USD $89 USD

$1,501 USD - $2,000 USD $119 USD

$2,001 USD - $2,500 USD $159 USD

$2,501 USD - $3,000 USD $189 USD

$3,001 USD - $3,500 USD $229 USD

$3,501 USD - $4,000 USD $259 USD

$4,001 USD - $4,500 USD $299 USD

$4,501 USD - $5,000 USD $329 USD

Referred By
Travel Agent, Group Leader, Autism Organization, etc:

Dining Preference (for Dinner in Main Dining Room)
Seating approx 6:00pm       2nd Seating approx 8:30pm

     If there is another party or person, not in this cabin, that you would like to sit with,
     please enter their full name here:


Ground Transportation to and from the Airport / Port

For the price To/From Tampa Airport please Contact Us
NOTE:
1. Before we can make your reservation, we will need your flight information.
2. We can only arrange transportation through the Cruise Line, if your flights are the same days as the cruise leaves and returns. If this is the case, we can recommend another transportation service for you.

YES , I would like to purchase Ground Transfers.
I will contact you once I have my flight information.

I will also require a LIFT CAPABLE Vehicle (for mobile disabilities)
I will NOT require a LIFT CAPABLE Vehicle

Need Price for an Airport not listed above

I need to be Transported to/from the Port from .
Please contact me with pricing.

No Transportation needed at this time

I do not need transportation at this time, but I understand I may contact Alumni Cruises in the future to arrange Transportation to the port.

Hotel Would you like us to contact you to arrange a Pre or Post Hotel stay at one of our Hotels?

Yes , my Hotel preference is

No, not at this time, but I understand I may contact Alumni Cruises before Final Payment Date
       to arrange Hotel Accommodations.

Air Would you like us to contact you to arrange Air Travel ?

Yes, my Air Departure city will be:

No, not at this time, but I understand I may contact Alumni Cruises before Final Payment Date
       to arrange Air Transportation.

AotS 1-on-1 Staff Respite Service Additional fee applies
For more details on this service, click here

Yes I am interested, please contact me with more information.

Yes I would like to reserve this Service.

No thank you.

How did you learn about "Autism on the Seas"?

Friend                 Autism Website        ASA Chapter          Facebook

Group Posting     Email

Other

Email Bulletin Would you like to receive Autism on the Seas bulletins (approx once every month or two) on periodic Discount Specials, New Services and other Vacation options as they are released. You can cease these emails at any time.

Yes       No

Misc Questions, notes, special requests, etc:

MAIN CONTACT PERSON FOR RESERVATION

First Name:

Last Name:

Address :

Address (cont):

City State Zip Country

Phones:

Home Cell Work

Email Address: REQUIRED FIELD

PASSENGER INFORMATION

1st Passenger

Name:        First   Last

• First & last name must be exactly as it appears on identification. PASSPORT and IDENTIFICATION Info

Date of Birth
• Cruise lines require birthdates for all passengers
• At least 1 person per cabin must be 21 years old
• Guests must be at least 6 months old: More Info
• Restrictions for pregnant women: More Info

Citizenship: USA     Other:

Gender: Male     Female               Past RCCL Passenger Crown & Anchor #

Shirt Size: XXXL     XXL     XL     L     M     Child L     Child M     Child S

Special Dietary Needs: No

GFCF (Gluten and Casein Free) Kosher

Food Allergies, explain
Other:

Special Needs Requests:
Please list any medical conditions, needs or requests here (such as Shower Stool, Mobility, Visual, Hearing, Oxygen, Dialysis, etc):

Will be bringing a WHEELCHAIR
Service Animal will be accompanying us, please send me accommodation info.

Special Needs
This information is for pre-cruise staffing resourcing only, and our full , more detailed Questionnaire will also be sent to you closer to the cruise date. None    Autism/Aspergers   Other (not Autism) please specify:

Please complete the following for ALLSpecial Needs Guests

Functioning level: High     Medium      Low

Verbal: Yes     Non-Verbal
Height:       Weight:

Typical Behavior seen in the Home:

Aggression: None     Some Aggressive often

Compliant: Yes     Somewhat    Non-Compliant

Engaging: Yes   Somewhat   Non-Engaging

Docile: Yes     Somewhat   Not Docile

Comments:

2nd Passenger       Check here if no 2nd Passenger

Name:         First   Last

Date of Birth
• First & Last name must be exactly as it appears on identification.
• Guests must be at least 6 months old: More Info
• Restrictions for pregnant women: More Info

Citizenship: USA      Other:

Gender: Male      Female                Past RCCL Passenger Crown & Anchor #

Shirt Size: XXXL     XXL     XL     L     M     Child L     Child M     Child S

Special Dietary Needs: No

GFCF (Gluten and Casein Free) Kosher

Food Allergies, explain
Other:

Special Needs Requests:
Please list any medical conditions, needs or requests here (such as Shower Stool, Mobility, Visual, Hearing, Oxygen, Dialysis, etc):

Will be bringing a WHEELCHAIR
Service Animal will be accompanying us, please send me accommodation info.

Special Needs
This information is for pre-cruise staffing resourcing only, and our full , more detailed Questionnaire will also be sent to you closer to the cruise date. None    Autism/Aspergers   Other (not Autism) please specify:

Please complete the following for ALLSpecial Needs Guests

Functioning level: High     Medium      Low

Verbal: Yes     Non-Verbal
Height:       Weight:

Typical Behavior seen in the Home:

Aggression: None     Some Aggressive often

Compliant: Yes     Somewhat    Non-Compliant

Engaging: Yes   Somewhat   Non-Engaging

Docile: Yes     Somewhat   Not Docile

Comments:

3rd Passenger        Check here if no 3rd Passenger

Name:        First    Last

Date of Birth:
• First & Last name must be exactly as it appears on identification.
• Guests must be at least 6 months old: More Info
• Restrictions for pregnant women: More Info

Citizenship: USA      Other:

Gender: Male      Female               Past RCCL Passenger Crown & Anchor #

Shirt Size: XXXL     XXL     XL     L     M     Child L     Child M     Child S

Special Dietary Needs: No

GFCF (Gluten and Casein Free) Kosher

Food Allergies, explain
Other:

Special Needs Requests:
Please list any medical conditions, needs or requests here (such as Shower Stool, Mobility, Visual, Hearing, Oxygen, Dialysis, etc):

Will be bringing a WHEELCHAIR
Service Animal will be accompanying us, please send me accommodation info

Special Needs
This information is for pre-cruise staffing resourcing only, and our full , more detailed Questionnaire will also be sent to you closer to the cruise date. None    Autism/Aspergers    Other (not Autism) please specify:

Please complete the following for ALLSpecial Needs Guests

Functioning level: High     Medium      Low

Verbal: Yes     Non-Verbal
Height:       Weight:

Typical Behavior seen in the Home:

Aggression: None     Some Aggressive often

Compliant: Yes     Somewhat    Non-Compliant

Engaging: Yes   Somewhat   Non-Engaging

Docile: Yes     Somewhat   Not Docile

Comments:

4th Passenger          Check here if no 4th Passenger

Name:       First   Last

Date of Birth:
• First & Last name must be exactly as it appears on identification.
• Guests must be at least 6 months old: More Info
• Restrictions for pregnant women: More Info

Citizenship: USA      Other:

Gender: Male      Female                Past RCCL Passenger Crown & Anchor #

Shirt Size: XXXL     XXL     XL     L     M     Child L     Child M     Child S

Special Dietary Needs: No

GFCF (Gluten and Casein Free) Kosher

Food Allergies, explain
Other:

Special Needs Requests:
Please list any medical conditions, needs or requests here (such as Shower Stool, Mobility, Visual, Hearing, Oxygen, Dialysis, etc):

Will be bringing a WHEELCHAIR
Service Animal will be accompanying us, please send me accommodation info.

Special Needs
This information is for pre-cruise staffing resourcing only, and our full , more detailed Questionnaire will also be sent to you closer to the cruise date. None     Autism/Aspergers    Other (not Autism) please specify:

Please complete the following for ALLSpecial Needs Guests

Functioning level: High     Medium      Low

Verbal: Yes     Non-Verbal
Height:       Weight:

Typical Behavior seen in the Home:

Aggression: None     Some Aggressive often

Compliant: Yes     Somewhat    Non-Compliant

Engaging: Yes   Somewhat   Non-Engaging

Docile: Yes     Somewhat   Not Docile

Comments:

5th Passenger        Check here if no 5th Passenger

Name:         First    Last

Date of Birth
• First & Last name must be exactly as it appears on identification.
• Guests must be at least 6 months old: More Info
• Restrictions for pregnant women: More Info

Citizenship: USA      Other:

Gender: Male      Female               Past RCCL Passenger Crown & Anchor #

Shirt Size: XXXL     XXL    XL     L    M    Child L    Child M    Child S

Special Dietary Needs: No

GFCF (Gluten and Casein Free) Kosher

Food Allergies, explain
Other:

Special Needs Requests:
Please list any medical conditions, needs or requests here (such as Shower Stool, Mobility, Visual, Hearing, Oxygen, Dialysis, etc):

Will be bringing a WHEELCHAIR
Service Animal will be accompanying us, please send me accommodation info.

Special Needs
This information is for pre-cruise staffing resourcing only, and our full , more detailed Questionnaire will also be sent to you closer to the cruise date. None   Autism/Aspergers   Other (not Autism) please specify:

Please complete the following for ALLSpecial Needs Guests

Functioning level: High     Medium      Low

Verbal: Yes     Non-Verbal
Height:       Weight:

Typical Behavior seen in the Home:

Aggression: None     Some Aggressive often

Compliant: Yes     Somewhat    Non-Compliant

Engaging: Yes   Somewhat   Non-Engaging

Docile: Yes     Somewhat   Not Docile

Comments:

6th Passenger      Check here if no 6th Passenger

Name:        First   Last

Date of Birth:
• First & Last name must be exactly as it appears on identification.
• Guests must be at least 6 months old: More Info
• Restrictions for pregnant women: More Info

Citizenship: USA Other:

Gender: Male Female                  Past RCCL Passenger Crown & Anchor #

Shirt Size: XXXL     XXL     XL     L     M     Child L     Child M     Child S

Special Dietary Needs: No

GFCF (Gluten and Casein Free) Kosher

Food Allergies, explain
Other:

Special Needs Requests:
Please list any medical conditions, needs or requests here (such as Shower Stool, Mobility, Visual, Hearing, Oxygen, Dialysis, etc):

Will be bringing a WHEELCHAIR
Service Animal will be accompanying us, please send me accommodation info.

Special Needs
This information is for pre-cruise staffing resourcing only, and our full , more detailed Questionnaire will also be sent to you closer to the cruise date. None    Autism/Aspergers    Other (not Autism) please specify:

Please complete the following for ALLSpecial Needs Guests

Functioning level: High     Medium      Low

Verbal: Yes     Non-Verbal
Height:       Weight:

Typical Behavior seen in the Home:

Aggression: None     Some Aggressive often

Compliant: Yes     Somewhat    Non-Compliant

Engaging: Yes   Somewhat   Non-Engaging

Docile: Yes     Somewhat   Not Docile

Comments:

CRUISE FARE PAYMENTs and CANCELLATION FEEs

Terms, Conditions and Privacy Policies

Final Payment Due 1/23/13	If you Make a Payment or Cancel
Final Payment Due 1/23/13	Between 05/07/2012 and 01/22/2013	Between 01/23/2013 and 02/21/2013	Between 02/22/2013 and 03/10/2013	Between 03/11/2013 and 03/24/2013	Between 03/25/2013 and 04/07/2013	Between 04/08/2013 and 04/22/2013 (Sail Date)

Cruise Fare and Tax
PAYMENT Due

$500
per Cabin

Full
Payment

Cruise Fare, Port Fees and Tax
CANCELLATION Fee

$250
per person

50% of Cabin Total

75% of Cabin Total

100% of Cabin Total

DEPOSIT Payment
Full Payment due 1/23/13
Due Now to hold Cabin. Down Payment and/or Full Payment is based on today's date.

CREDIT CARD: Please call me for my Credit Card Information

CREDIT CARD: Please process my Credit Card (info below)

Credit Card Type:

Visa MasterCard Amex Discover

Credit Card Number:

Expiration Date:

Visa/Mcard 3-Digit Verification Code (on back of Card):

Amex 4-Digit Verification Code (on back of Card):

Name on Credit Card:

Billing Address:

CHECK

Send payment to:

Alumni Cruises
ATTN: Billing
15 Oak Glen Drive
Shelton, CT 06484

Make check payable to "Alumni Cruises"

VOUCHER, DISCOUNT CODE or GIFT CERTIFICATE REDEMPTION

Please enter the Voucher, Discount Code or Gift Certificate Number found on your Voucher or Gift Certificate.

You will be credited appropriately for your Voucher, Discount or Certificate. If you have any questions, please contact us.

Please donate to S.N.A.P.
www.SpecialNeedsAbilityProgram.org
Would you like to make a onetime Tax Deductable donation to Special Needs Ability Program, Inc's Grant Program to assist low income special needs families to help experience a cruise?

Other amount:
AotS will match your donation up to $50
- Donations will be added to your Deposit
- You will receive a Tax Deductible Receipt from S.N.A.P.

Final Payment

Due 1/23/13

We will contact you for remaining Payment prior to Due date if you have any balance due.

Total and Remainder Due will be sent to you on your Invoice after your Down Payment clears.

PLEASE NOTE: The Cruise Lines change their pricing without notice. Prices listed on this page are updated as often as possible, and may not be current. Any change in fare when you book will be communicated to you on your Invoice and prior to you making Final Payment. You may cancel your cruise at any time, prior to Final Payment without penalty.

Please note that providing us with your Payment, indicates an acknowledgement of our Terms, Conditions & Privacy Policies

SUBMIT BOOKING

Before you submit your booking request, please note:

ADDITIONAL CABINS
If you require another cabin, please complete this form for ONE cabin ONLY. Then, after you have Submitted this Form (below), complete the form again for your next Cabin.

CONFIRMATION / RECEIPT
You will receive an email confirming your booking request within 24 hours after submission. You will receive an invoice via postal delivery and email confirming your booking payment, cruise information and any balances due, once your payment clears.

Check payments will delay confirmations, which will delay receipt of your Paid Invoice.

Autism on the Seas 1-800-516-5247 info@AutismontheSeas.com