Contact Information

This person will be contacted if there are questions.

First Name:

Last Name:

Email:

Home Address:

Unit / Suite:

Country:

City:

State:

Zip Code:

Daytime Phone Number:

Daytime Phone Type:

Alternate Phone:

Church Information

Information given will be used for NACOG mailing lists.

Church Name:

Pastor's Name:

Church Email:

Church Address:

Church City:

Church State:

Church Zip Code:

Church Phone Number:

Cruise Fees and Payment Schedule

This registration for is for submitting the Deposit ONLY for a Single person.

The remaining balance will be due by the dute dates listed below.

The cost of the cruise includes all cruise fees, port charges, gratuities and taxes. Cruise rates require Double Occupancy.

Both Cabin Mates must pay the initial deposit and meet all due dates.

$50 per person NACOG registration fee

PAYMENT DUE DATES:
Initial Deposit - $50 per person .......due by August 24, 2009 (non-refundable)
Second Deposit - $200.....................due by October 19, 2009
Final Deposit - $160 or $200.............due by December 11, 2009

Interior Stateroom
$360 per person
- 50 double occupancy rooms are availble
- First come / First serve

Ocean View Stateroom
$400 per person
- 50 double occupancy rooms are availble
- First come / First serve

Please provide your cabin room type below.

Cabin Selection:

Requested Cabin Mate:

Requested Cabin Mate Email:

Refund Policy - I understand that all registration fees are NON REFUNDABLE.

Registration Deposit Due $50.00

[ IMPORTANT! ] After you hit SUBMIT please be patient while your your registration is created and you are redirected to our giving system for payment. Only hit submit once.