CruiseCyprus.com Payment Form

You will have been directed here by one of our staff members
once you have received your quote to confirm and pay for either your cruise or ferry.

Please fill in the form below and then check it for mistakes. If you need help or anything is unclear, see our online help button at the bottom of the page, if we are online it will show as such, if not you may call us on +357 24 665408

Please provide the following information

Name
Email
Name of cardholder as on the Card
  Billing Address
Street Address
City
State/Province/ County
Zip/Postal Code
Country
Accommodation Name 
Address & Contact Number in Cyprus

(in case we need to contact you before your cruise. If you are bringing a mobile phone, please put it here)
Date of Cruise/Ferry  
Destination
Card Type
Card Number
Expiry Date
Last 3 Digits on the Signature Side of Card
Total Amount in Euro's
Same Amount in Words
   
Please provide below the Names, Nationality Passport No. or ID number and Date of Birth of all the guests travelling.
Guest Name 1

Nationality

Date of Birth

Passport No.

Guest Name 2 Nationality Date of Birth Passport No.
Guest Name 3 Nationality Date of Birth Passport No.
Guest Name 4 Nationality Date of Birth Passport No.
Guest Name 5 Nationality Date of Birth Passport No.
Guest Name 6 Nationality Date of Birth Passport No.
Guest Name 7 Nationality Date of Birth Passport No.
Guest Name 8 Nationality Date of Birth Passport No.
Guest Name 9 Nationality Date of Birth Passport No.
Guest Name 10 Nationality Date of Birth Passport No.
Guest Name 11 Nationality Date of Birth Passport No.
Guest Name 12 Nationality Date of Birth Passport No.
Guest Name 13 Nationality Date of Birth Passport No.
Guest Name 14 Nationality Date of Birth Passport No.
 

Comments: Please add anything you think we should know here. e.g. Wheelchair access required, special dietary requirements or any other issues we should be made aware of.

I hereby authorise you to debit my account for the amount stated above for the requested cruise.

I have read, understand and accept the terms and conditions.

By pressing "Submit" below you are authorising CruiseCyprus.com to book your cruise and for CruiseCyprus.com or its is ticket issuing office to charge your credit card for the total cost of the cruise stated above.

Thank you, please wait for the confirmation page and expect to receive our e mail confirmation in due course.

 

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