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Unique Land Tours Reservation Form
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Passenger Information

  • Please complete the form below to book your cruise. Passenger information must match your passport or government issued ID Exactly. Birth Certificate must have a raised seal, hospital certificates are not acceptable. (Failure to provide accurate information could result in being denied boarding).
(Wheelchair Assistance, Scooter, Asthma, etc)

Passenger #2 Information

(Wheelchair Assistance, Scooter, Asthma, etc)

Passenger #3 Information

(Wheelchair Assistance, Scooter, Asthma, etc)

Passenger #4 Information

(Wheelchair Assistance, Scooter, Asthma, etc)
$0.00

I, the above-named authorized credit card user, give Heart Cruises, LLC and its representative express authorization to charge my credit card for the purposes detailed above. I understand that this form constitutes a legally binding contract and that by affixing my signature to this form, I will be held responsible for all agreed upon (as stated above) charges as well as any and all collection and legal fees. This credit card is authorized for only non-refundable deposit charges noted above.

Clear Signature