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Registration

CLICK HERE to open a printable Registration Form and mail to:
Jubilee Productions - 481 Ronda Street - Pensacola, FL 32534

OR fill out and submit the online form below.
Don't forget to fill in you're HOST group!

Name
Address
City
State	Alabama Alaska Arizona Arkansas California Connecticut Deleware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington West Virginia Wisconsin Wyoming
Zip
E-mail
Home Phone
Work Phone
Cell Phone
Please type ONLY your First and Last name below as it appears on your passport for passengers sharing the same cabin. Do not include your middle name. Legal Name Date of Birth Male Female Legal Name Date of Birth Male Female Legal Name Date of Birth Male Female Legal Name Date of Birth Male Female
Please reserve me a cabin in category: for the Gospel Jubilee Cruise. Please charge my credit card $150 per person for my initial deposit only. ($250 for suites) Please charge my credit card the initial $150 deposit ($250 for suites) per person,            then charge again on the payment due dates as specified on the Conditions Page,            under Deposit Requirements (Sept. 4th & Dec. 1st, 2009) Please charge my credit card for the full price of my cruise. Check if you have any special needs. List all that apply (bringing wheel chair or scooter,          CPAP machine, insulin therapy, medicine requiring refrigeration, other):          List Here:
Comments & Requests: (if there's another family that you'd like to dine with, or room near, etc.) CREDIT CARD INFORMATION CARD TYPE VISA Mastercard CARD NUMBER EXPIRATION DATE NAME ON CARD BILLING ZIP CODE Host Group This space is for you to enter the artist on this cruise in which you found out about the Gospel Jubilee Cruise.
BEFORE SUBMITTING YOUR RESERVATION REQUEST PLEASE MAKE SURE THAT ALL FIELDS ARE FILLED IN - OR YOUR RESERVATION WILL NOT BE PLACED -