Book Your Writing RetreatChristina Delay2017-11-03T16:55:21-05:00 7 Day Western Caribbean Cruise: November 8-15, 2020 1 Cruise & Contact Info2 Life On Board / Roommate3 Select Your Room Retreat AmountName* First Last As it appears on your Passport.Pen Name (if applicable) First Last Birthdate* MM DD YYYY Citizenship*Needed to match passport information upon ship check-inEmail* Phone*Mailing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country How did you hear about us?* Special dietary needs?Smoker or Non-smoker?*SmokerNon-SmokerNote: Smoking is only allowed in designated outdoor areas.ADA Room Required?*YesNoEarly Bird or Night Owl*Chirp, ChirpHoot, HootGender*MaleFemaleWe only ask this to appropriately place roommates. No roommates of the opposite sex will be placed together unless requested by both parties.Do you already have a roommate?*YesYes - Spouse / Guest (non-writer)No - Please note that we do not guarantee roommates but will do our best to assist you with your roommate search!Roommate's Name Desired Stateroom TypeInterior - Shared + Retreat ($1,875)Interior - Private + Retreat ($2,558)Interior - Non-Writing Guest + Retreat ($2,767)Oceanview - Shared + Retreat ($1,935)Oceanview - Private + Retreat ($2,666)Oceanview - Non-Writing Guest + Retreat ($2,875)Balcony - Shared + Retreat ($2,095)Balcony - Private + Retreat ($2,986)Balcony - Non-Writing Guest + Retreat ($3,195)Room Selection*Retreat OnlyInterior Stateroom - Shared + RetreatInterior Stateroom - Private + RetreatInterior Stateroom - Non-writing guest + RetreatOceanview Stateroom - Shared + RetreatOceanview Stateroom - Private + RetreatOceanview Stateroom - Non-Writing Guest + RetreatBalcony Stateroom - Shared + RetreatBalcony Stateroom - Private + RetreatBalcony Stateroom - Non-Writing Guest + RetreatRoom Selection*Retreat OnlyInterior Stateroom - Shared + RetreatOceanview Stateroom - Shared + RetreatBalcony Stateroom - Shared + RetreatRoom Selection*Retreat OnlyInterior Stateroom - Non-writing guest + RetreatOceanview Stateroom - Non-Writing Guest + RetreatBalcony Stateroom - Non-Writing Guest + RetreatOne-on-One / Pitch Sessions 20 Minute One-on-One Session -- Angela Ackerman, Writing Coach 10 Minute One-on-One Session -- Darynda Jones, Bestselling Author 10 Minute Pitch Session -- Literary Agent Please check all that you would like to participate in. Cruising Writers will assign your day and time.Discount Code To join our Quarterly Payment Plan, enter BILLMEQUARTERLY into the Discount Code box. Payments are divided into equal payments and due on the 1st day of each quarter. Deposits and payments made under the Quarterly Payment Plan are non-refundable. Balance is due in full on October 1, 2020.Total $0.00 Payment Type*Credit CardCredit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Expiration Date Security Code Cardholder Name Terms and Conditions Cancellations Cruising Writers reserves the right to cancel the event up to 70 days before the retreat date.If Attendee should need to cancel for any reason, Attendee must give 160 days notice. If Attendee cancels within 160 days, Attendee is responsible for 75% of the cost of their total retreat cost. If Attendee participates in the Quarterly Payment Plan and misses any payments or cancels at any time, Attendee understands that all payments are forfeit. If Attendee cancels within 70 days of retreat date, Attendee is responsible for 100% of the cost of the cruise ticket + retreat. Force MajeureNeither party hereto will be liable or responsible to the other for any loss or damage or for any delays or failure to perform due to causes beyond its reasonable control including, but not limited to, acts of God, strikes, epidemics, war, riots, civil unrest, flood, fire, tsunami, volcano, sabotage, air space closure, ground stop(s), a U.S. Department of State Travel Warning or any other circumstances of like character (“force majeure occurrence”). IndemnificationAttendee agrees to indemnify and hold Nimbus and its respective officers, agents, and employees free and harmless from all liability, loss, damage, costs, and all other claims for expenses asserted against any of them which may arise from injuries to persons or property occasioned by the intentional or negligent acts or omissions of Attendee or representatives. Accept Terms and Conditions* I have read and accept the Terms and Conditions PhoneThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.