NCL Casinos at Sea - Club Application

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Please fill out the following form to register for the Casinos at Sea Players Club™ and start earning membership points towards onboard rewards and future cruises. The Casinos at Sea™ Card Reader system is currently available only on Norwegian Dawn, Star, Spirit, Sun and the Jewel. Membership therefore applies to and is valid aboard these five ships.

All fields marked with * are required to submit this form.

Personal Info

Contact Info

Title:

The below contact info is my:
Home Business

*First Name:

*Address:

Middle Name:

*City:

*Last Name:

*State:

*Date of Birth (mm/dd/yyyy):

*Zip:

Anniversary Date (mm/dd/yyyy):

Country:

*ID Type:

*Phone:

ID Number:

Other Phone:

*Email:

Cruise Info

Do you currently have a reservation with NCL? Yes No

If yes, please answer the following:

What Ship?

Which Date?
(mm/dd/yyyy)

Reservation Number?(Optional)

I am interested in special discounts for short notice and I am available to cruise in:

Less than 7 days

8 - 14 days

15 - 28 days

29 - 50 days

*I declare that I am 18 years of age or older and that all representations made by me on this application are true and correct. I understand that I may be subject to civil and criminal liability if any information provided thereon by me is willfully misrepresented.

Optional Information

Games Played

Casino War	Craps	Blackjack
Roulette	Baccarat	Poker
Let it Ride	Pai Gow Poker	Pai Gow Tiles
Texas Holdem	Other:

Video Games
Reel Slots	Video Slots	Video Poker
Multi Game	Video Blackjack	Coin Pusher
Others:

Slot Denomination Interest

1¢ Slots	5¢ Slots	25¢ Slots	50¢ Slots
$1 Slots	$5 Slots	$25 Slots	$100 Slots

Table Game Average Bet

$10 and Below	$11 to $25
$51 to $100	$100 and Above
Other:

Tournament Interests

Slots	Craps	Blackjack
Roulette	Baccarat	Poker
Other:

Other Interests

Arts	BaseBall	BasketBall
Fishing	Food & Wine	FootBall
Golfing	Nascar	Shopping
Soccer	Tennis
Other:

Destination Interests

Alaska/Pacific Coastal	Bahamas	Bermuda
Canada/New England	Caribbean	Eastern Caribbean
Europe	Exotic Southern Caribbean	Mexican Riviera
Panama Canal	South America	Western Caribbean
Other:

Apr	MAY	Jun
	24
2005	2006	2007