2025 Cruise Registration Form

LISBON to LONDON
May 31–June 11, 2025

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Please select if this cruise is for one or two guest(s)

Single Occupancy
Couple/Double Occupancy

Guest Information

Title

Guest 1 | Passport Name

First

Middle

Last

Guest 1 | Date of Birth

Guest 1 | Please select your gender

Female
Male

Guest 1 | First Name or Nickname for Name Badge

Guest 1 | Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Guest 1 | E-mail

Guest 1 | Cell Phone

Guest 1 | Secondary Phone

Guest 1 | Passport File Upload

Click or drag a file to this area to upload.

Files should not exceed 5MB

Guest 1 | Emergency Contact Name

Guest 1 | Emergency Contact Day Phone

Guest 1 | Emergency Contact Relation

Guest 1 | Emergency Contact Night Phone

Guest 2 | Address (if different than Guest 1)

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Cruise person Card

Suite Selection

Select a CRUISE & AIR or CRUISE ONLY Package

Cruise & Air
Cruise Only

Rates include port taxes of $323 per person.

Cruise & Air Rates include domestic air from select gateways, roundtrip business class air on intercontinental flights, and ground transfers between airport and ship.

Cruise Only Rates include a $3,930 business class air price reduction per person. Ground transfers are not included.

Concierge Suites & higher include a one-night Regent pre-cruise Lisbon hotel package or receive a $180 per person hotel credit.

Ultimate Roundtrip Business Class Air applies to intercontinental flights only in all suite categories, includes coach transfers between airport and ship, executive chauffeur credit of up to $500 per suite, and applies to flights only from the following airports: Atlanta (ATL), Boston (BOS), Charlotte (CLT), Chicago (ORD), Dallas (DFW), Denver (DEN), Detroit (DTW), Houston (IAH), Long Angeles (LAX), New York (JFK), Orlando (MCO), Philadelphia (PHL), Phoenix (PHX), San Diego (SAN), San Francisco (SFO), Seattle (SEA), and Tampa (TPA). For pricing on all available air classes and additional departure airports, please contact your Travel Advisor.

I/we would like to request:

One Bed
Two Beds

Have you sailed with Hillsdale College before?

I/we would like to request a Cabin Number (or nearby), Deck Number, Forward, Aft, Port, or Starboard. Please tell us:

Special Requests / Comments

(i.e., Medical, Limited Mobility, Dietary, Allergic Reactions, Cabin Assignment Requests, Comments)

Have you sailed with Regent Seven Seas Cruises before?

How did you hear about us?

Credit Card Authorization

Credit Card Authorization:

I/we authorize Global Tracks to charge deposits and final payments to my card. I/we accept to pay the non-refundable Global Tracks administration fee of $100 per person

Final payment is due on or before January 31, 2025

Electronic Signature Verification

Billing Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

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From time of deposit until January 30, 2025	$100 per person
From January 31, 2025 until March 1, 2025	15% of total package
From March 2, 2025 until March 31, 2025	50% of total package
From April 1, 2025 until April 30, 2025	75% of total package
After April 30, 2025	100% of total package

2025 Cruise Registration Form