MISSISSIPPI RIVER CRUISE ~ SEPTEMBER 2026 ~ AMERICAN CRUISE LINE September 01, 2026 - September 09, 2026 THIS IS A REQUEST FORM ONLY. AFTER SUBMITTING THIS YOU WILL BE CONTACTED BY BARBARA TARANTINO, TRAVEL AGENT, TO SELECT YOUR CABIN AND DISCUSS YOUR BOOKING. YOUR CREDIT CARD WILL NOT BE CHARGED UNTIL YOU HAVE CONFIRMED ALL CHOICES. TRAVELERS MUST HAVE PROPER TRAVEL DOCUMENTS For international travel, excluding cruises that begin at and return to the same U.S. port, U.S. CITIZENS MUST HAVE A VALID PASSPORT.For cruises that begin at and return to the same U.S. port, U.S. CITIZENS must have a VALID PASSPORT or original certified birth certificate w/raised seal and photo ID. NON-U.S. CITIZENS and RESIDENT ALIENS should contact their respective embassies and U.S. Immigration for applicable regulations. ONLY ONE REGISTRATION FORM PER CABIN/ROOM PLEASE Select Your Room Category: --Select One-- Standard Balcony ($5995.00 pp) Deluxe Balcony($6600.00 pp) Premium Balcony($6995.00 pp) Veranda Suite($8290.00 pp) Grand Suite($10620.00 pp) Single Occupancy Balcony ($7620.00 pp) TRAVELERS MUST USE THEIR LEGAL NAMES AS THEY APPEAR ON THEIR PROOF OF CITIZENSHIP TO REGISTER. FOR THIS CRUISE A REAL ID DRIVER'S LICENSE IS SUFFICIENT. Traveler one Gender ---Please Select--- male female other U.S. citizen ---Please Select--- yes no Date of Birth Traveler two Gender ---Please Select--- male female other U.S. citizen ---Please Select--- yes no Date of Birth ADD ADDITIONAL TRAVELER DEPOSIT REQUIREMENTS $1000.00 PER CABIN DEPOSIT REQUIRED AT TIME OF BOOKING FINAL PAYMENT DUE FOR ALL CABINS IS JUNE 1, 2026. ADDITIONAL INFORMATION CANCELLATION POLICY If you cancel, money-back refunds or issuance of Cruise Credits will be made according to the schedule below. All cruise package cancellations will incur a non-refundable $250.00 per person Cancellation Administration Charge, unless cancelled within 24 hours of initial payment. Cancellation Administrative Charges can be applied as a courtesy discount to a new cruise package for you if you make the initial payment within one year of cancellation. If only add-on experiences (i.e. Signature Excursions) are cancelled the Cancellation Administrative Charge will be waived, but fees will still apply according to the table below. Please contact us at 800-894-8570 to find out more. CANCEL FOR ANY REASON PROTECTION PLAN The American Cruise Line Cancel For Any Reason Protection Plan (the “Plan”) offers the opportunity to receive a refund beyond our standard refund policy. The Plan is a cancellation fee waiver offered by American Cruise Lines and the Plan cost is non-refundable in the event of cancellation. This Plan is not medical insurance.COST VARIES BASED ON CABIN TYPE SELECTED.You receive Deluxe Protection when you purchase the Plan within 14 days of initial payment for your cruise package or Basic Protection when you purchase the Plan 15 days or more after initial payment.We strongly recommend purchasing travel protection due to the vendor's strict cancellation policies. This is to confirm that you are aware of the cancellation penalties as described above on this page and that travel protection is available for purchase to protect against cancellation penalties due to unforeseen reasons. DO YOU UNDERSTAND YOUR TRAVEL PROTECTION OPTIONS? ---Please Select--- Yes No DO YOU WISH TO PURCHASE TRAVEL CANCELLATION PROTECTION? ---Please Select--- Yes No PAYMENT INFORMATION (P.O. Boxes Not Accepted) Card Type VISA MC AMEX DISCOVER Expiration Date Month January February March April May June July August September October November December (+)add another card ADDITIONAL INFORMATION OR SPECIAL REQUESTS FOR MORE INFORMATION CONTACT: BARBARA TARANTINO Phone Number: 330/705-3095 Email Address: barbarat@packnowtravel.com