Advanced Topics in Multidetector CT Scanning Cruise to Alaska scheduled for July 31

To secure your reservation on the "Advanced Topics in Multidetector CT Scanning Cruise to Alaska" scheduled for July 31 – August 7, 2009, please fill out the form below. Once your application has been received and reviewed, someone from our agency will be in contact with you.

Make Checks Payable to: OceanMeetings, Inc. and mail to address below.

* Indicates a required field

FILL OUT FORM COMPLETELY

Please list names as they appear on your passport.

First Person

First Name: *

Last Name: *

Sex: Male Female

Date of Birth: *

Citizenship: *

I will attend the course

Second Person

First Name:

Last Name:

Sex: Male Female

Date of Birth:

Citizenship:

I will attend the course

Third Person

First Name:

Last Name:

Sex: Male Female

Date of Birth:

Citizenship:

I will attend the course

Fourth Person

First Name:

Last Name:

Sex: Male Female

Date of Birth:

Citizenship:

I will attend the course

Address: *

City: *

State:

Zip: *

Country:

Home Phone: *

Phone 2:

Phone 2 Type:

Email: *

Name as it appears on the Credit Card: *

Credit Card Number: *

Expiration Date: *

SELECT CABIN TYPE

(The rate includes cruise, port charges, taxes, fees and gratuities)

RS - Royal Suite with Balcony

$6,699 / person

~~OS - Owner’s Suite with Balcony~~ Sold Out!

~~$3,749 / person~~

GS - Grand Suite with Balcony

$2,849 / person

JS - Junior Suite with Balcony

$2,499 / person

~~FS - Royal Family Suite with Balcony~~ Sold Out!

~~$2,958 / person~~

FO - Family Ocean View

$1,629 / person

D1 - Superior Ocean View with Balcony

$2,234 / person

D2 - Deluxe Cabin with Balcony

$2,184 / person

F - Ocean View Cabin

$1,584 / person

M - Inside Cabin

$1,264 / person

JS - Junior Suite with Balcony

$4,585 single

D1 - Superior Ocean View with Balcony

$4,020 single

D2 - Deluxe Cabin with Balcony

$3,920 single

F - Ocean View Cabin

$2,720 single

M - Inside Cabin

$2,080 single

3rd and 4th Passenger Rate

$1,255 / person

All cabin categories will accommodate 2 passengers. For availability of cabins accommodating more than 2, email your request to Karen Pedersen at kpedersen@oceanmeetings.com

DINING OPTIONS

Dining Options: The 8:30 dining time has been assigned to the group. There is also a 6:15 dining time. Please select your preference.
8:30 pm
6:15 pm

Seating Preference: We would like to be seated with (Family/Person name)

CHOOSE FROM THE FOLLOWING PAYMENT OPTIONS

Check the box next to the payment plan selected.

Deposit of $250 per person at booking and an additional $250 per person on January 15th. + Final Payment by May 11, 2009

I would like to pay for the whole cruise at this time. Please charge my Credit Card for the full amount.

In lieu of my credit card imprint, I hereby authorize OceanMeetings, Inc. to charge the above 'Payment Plan' on my credit card

Family + Friends not attending the meeting also qualify for the Group Rate.

CANCELLATION POLICY

Check box if you would like the CruiseCare Passenger Protection Plan.

We Highly Recommend purchasing the CruiseCare Passenger Protection Plan through the cruise line. Johns Hopkins University, SOM is not responsible for any refunds should you decide to cancel your cruise. The cost for insurance varies with category selected. All cancellations are subject to a non-refundable $100 per person processing fee. Higher fees will apply after November 29, 2008 according to the following cancellation schedule below:

Sept 15, 2008 to May 24, 2009 $100 per person
May 25, 2009 to July 1, 2009 $350 per person
July 2, 2009 to July 23, 2009 50% of the total cruise
July 24, 2009 to July 31, 2009 No refund

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