Important!
Cruisers must use one booking form per cabin
One member of each cabin must be at least 21 years of age
All required spaces must be completed for the form to be sent
A valid passport is not required for passengers at this time but can change at anytime and therefore are highly recommended. (more information)
EMS Association Affiliation I am a... Please Choose One Wisconsin EMS Association Member Iowa EMS Association Member North Dakota EMS Association Member Michigan Association of EMTs member Family/Friend of a Wisconsin EMS Association Member Family/Friend of an Iowa EMS Association Member Family/Friend of a North Dakota EMS Association Member Family/Friend of a Michigan Association of EMTs Member
If applicable, which EMS service do you belong to?
Have you sailed on any of the past EMS Cruises? (Hold down the Ctrl Key to make multiple selections) March 2001 (First Cruise) March 2003 (Second Cruise) March 2005 (Third EMS Cruise) March 2007 (Fourth EMS Cruise) March 2009 (Fifth EMS Cruise) I have never sailed on an EMS Cruise
How did you find out about the EMS Cruise? (Hold down the Ctrl Key to make multiple selections) Advertisement Magazine article EMS Cruise website State EMS Association website Friend referral Past EMS cruiser Other
Full Legal Name of Cruiser(s) All cruisers must have a valid passport. Please note that triple and quad cabins are very limited.
* All names must be legal names as seen on Proof of Citizenship * Without proper Proof of Citizenship you will be denied boarding * A Passport is required for every Cruiser
I verify that all names are legal names as seen on their Proof of Citizenship and that all passengers have been informed of the possible need for a passport at the time of sailing. Please initial
Lead Passenger Information
Cabin Selection Please note that oceanview cabins, regardless of occupancy, and triple and quad cabins in every category are very limited and subject to confirmation.
* All cabin requests are subject to availability. Three and four occupancy cabins are extremely limited * For single occupancy, the cabin price is double the per person rate * 3rd and 4th passengers in Inside Cabin $260 * 3rd and 4th passengers in Ocean View Cabin $290 * 3rd and 4th passengers in Balcony Cabin $320
Air Selection Air transportation is not included with the EMS Cruise.
VERY IMPORTANT WARNING! Be sure to have your credit card ready before you submit this form! Your deposit payment will take place on the next page. Do not complete this form or submit this form more than once! It may take several minutes for the submission to take place. If you submit more than once, it will result in all of your bookings being removed. If you encounter booking problems, contact Wendy at the EMS Cruise at 1-800-793-6820.