Payment History Method of Payment   VISA   MC   AMEX   Discover   Diners Club International   Diners Club Carte Blanche Name (As it appers on card): Expiry Date: Date Signature Obtained: Quote Reference: Apply Payment to : Please select Initial Deposit Balance Payment Other Cardholders address if different from above: Name: Suite/Apt Address Line 1 Address Line 2   *City * Province/State     *Postal/Zip Code * Country Home Work Have these clients cruised with this line before?   Yes   No If Yes, then note previous cruise member# Is this a special occasion?   Birthday     Honeymoon     Anniversary     Other   Which night during cruise to celebrate this occasion? Credit Card# Name (As it appers on card): Expiry Date: Additional Comments: