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Hurtigruten Guest Services Form

Please note passengers will be denied boarding if form is not completed and received 70 days prior to departure with Final Payment.

* Required Fields

Today's Date: 8/28/2008
DOB*:
Booking Number:
Voyage Date*:
Last Name*:
First Name*:
Phone number*:
Sex*: Male  Female
Dietary Info/Allergies:
Passport Issue Date*:
Passport valid until*:
Passport Number*:
Nationality*:
Was your medical form completed and signed by a physician*: Yes  No
Transfers are not included if passengers deviate or arrange flights independently.
Cruise only: Yes  No
Jacket size: S  M  L  XL  XXL
Arrival City:
Departure City:
Arrival Date:
Departure Date:
Arrival Time:
Departure Time:
Arrival Flight:
Departure Flight:
Date(s) of hotel stay:
Do you need extra nights? Yes  No
If so what dates:
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Hurtigruten
405 Park Avenue, Suite 904
New York, NY 10022
Tel: 866.257.6071
Fax: 212.319.1390
Opening hours:
Mon-Fri 9am-9pm EST
Sat 10am-4pm EST
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