The Brown Pear

Perie Brown Creations and bead cruise

Please complete this form and return to Vicki Henderson at Cruises Only 4150 Belden Village Street, Suite LL6 Canton,  OH 44718 1-800-545-7447 Name (as it appears on your passport) ----------------------------------------------------------------------------------------------------------------------------- Address--------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Telephone number (including area code)------------------------------- e-mail------------------------------------  Birth Date------------------------------ Check desired cabin: Inside cabin, categoryJJ      $697.17-------------------------- Outside cabin, catefory D     $887.17-------------------------- With balcony, category BB    $1027.17----------------------- Do you wish to purchase insurance?  $89.00-------Yes------No Number of people in cabin----------------- The Sapphire Princess is mostly a non-smoking facility, however guests are allowed to smoke in their own cabin. Are you a smoker?   Yes----------- No----------- If you wish to pay by credit card, please complete the following Type of credit card:  Mastercard----------------                                       Visa--------------------------                                        Discover------------------                                        American Express-----------                                        Other------------------------ Credit card number------------------------------------- expiration date------------------------------------------- Name on card-------------------------------------------- Signature---------------------------------------------- date------------------------ printable form