Galapagos Islands Cruise Registration Form - President's Council Travel Programs

Galapagos Islands Cruise

January 15-24, 2026

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

Single Occupancy

Couple/Double Occupancy

Guest Information

Title

Guest 1 | Passport Name *

_ *

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 *

_ *

Guest 1 | E-mail *

Guest 1 | Cell Phone *

Guest 1 | Secondary Phone

Guest 1 | Emergency Contact Name

Guest 1 | Emergency Contact Relation

Guest 1 | Emergency Contact Day Phone

Guest 1 | Emergency Contact Night Phone

Title

Guest 2 | Passport Name *

_ *

Guest 2 | Date of Birth *

Guest 2 | Please select your gender *

Female

Male

Guest 2 | First Name or Nickname for Name Badge

Guest 2 | Address (if different than Guest 1)

Guest 2 | E-mail

Guest 2 | Cell Phone *

Guest 2 | Secondary Phone

Guest 2 | Emergency Contact Name

Guest 2 | Emergency Contact Relation

Guest 2 | Emergency Contact Day Phone

Guest 2 | Emergency Contact Night Phone

Flight and Travel Insurance Options

International airfare is not included. Please let us know how you would like your airfare arranged. *

I/we would like Global Tracks to book our air arrangements for a $100 per person ticketing fee.

I/we would like to add Silversea’s Door-to-Door Service at a supplemental cost.

I/we will make our own air arrangements and provide our schedule to Global Tracks.

Preferred Class of Air Travel *

First / Business

Economy

Additional Information

Global Tracks offers optional travel insurance. Travel insurance is strongly suggested and will give you the opportunity to recover monies lost through cancellations. We offer Allianz Travel Insurance as an option. Premiums vary depending on your age and the cost of your trip. Purchase within 15 days of deposit for additional benefits. *

I/we are interested in a travel insurance quote

I/we decline travel insurance

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Payment Schedule

Required Deposit: 25% of cruise fare and a non-refundable Global Tracks administration fee of $100 per person

Final Payment Due: August 13, 2025

Cancellation Policy and Schedule

All cancellations must be made in writing to Global Tracks. Travel insurance and airfare are non-refundable once purchased. Any payment to Global Tracks constitutes your acceptance of the terms and conditions set herein, including but not limited to the cancellation terms. All cancellations are subject to the Global Tracks administration fee of $100 per person paid at deposit in addition to the below schedule:

From time of deposit until August 13, 2025	$250 per person penalty*
From August 14, 2025 to September 18, 2025	15% of total package penalty
From September 19, 2025 to October 18, 2025	25% of total package penalty
From October 19, 2025 to November 17, 2025	50% of total package penalty
From November 18, 2025 to December 17, 2025	75% of total package penalty
After December 17, 2025	100% of total package penalty

* This Silversea penalty will be converted to a future cruise credit (FCC) redeemable on a new booking made up to 2 years after cancelation on any sailing commencing no later than one year after the expiration date of the FCC.

Silversea Cruises Terms & Conditions:

IMPORTANT NOTICE TO GUESTS: Your cruise booking is governed by the terms and conditions contained in your (i) Passage Contract/Booking Terms (where applicable) and (ii) the Silversea General Terms and Conditions of sale. Your Passage Contract/Booking Conditions and the General Terms and Conditions for the purchase of any products, services, shore excursions, or other activities related to your cruise, contain important limitations on the rights of passengers, including provisions relating to limitation of liability, forum selection, governing law, and the use of alternative dispute resolution to resolve certain types of disputes.

The Passage Contract applicable is available here. To view the purchase terms and conditions, please visit:
https://www.silversea.com/terms-and-conditions

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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.

Name on Credit Card *

Credit Card Number *

Credit Card Type *

Expiration Date *

CID *

Billing Address *

Same as Home Address

Different Address

Billing Address

Final payment is due on or before August 13, 2025

Electronic Signature Verification *

Submitted data is encrypted in order to secure your information and privacy.

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