Use this form to book ground transportation for the Barry Durand Cruise, January 8 - January 15, 2012

Departure from Walt Disney World's Coronado Spring Resort
on Janauary 8, 2012 to TAMPA CRUISE TERMINAL

* If you need transportation from the Orlando Int't. Airport to Coronado Springs Resort * 
we offer a 10% discount on our already low rates.

ONE-WAY FARE - $20    |    ROUND TRIP FARE - $32

Name
E-mail Address
Address
City / State / Zip
Country 
Phone 

ONE-WAY or ROUND TRIP
 
Number in Party
 
Please List Full Name of All Travelers















Payment OPTIONS
CREDIT CARD (input credit card info below) or CASH (payable at time of pickup)

PAYMENT BY CREDIT CARD

Credit Card Issuer 

Credit Card Number  

Expiration Date  

Name on Credit Card  

Billing Address  

City / State / Zip      

Country 


PAYMENT BY CASH (check box)  

(collected at time of departure)

Comments, Special Requirements or Concerns