and American Dream Vacations, 412 East Shore Trail, Sparta, NJ 07871

I, the undersigned, have purchased a French Hotel Boat Cruise from American Dream Vacations, French Hotel Barge. Com.

That cruise departs (date)__________________ on the (name of boat)____________________________.

The following payments are required:   On discounted cabins 50% to confirm booking.  A final payment of 50% due 16 weeks prior to sailing date.

I know that there are stiff cancellation policies. The following fees will apply to any cancellations 4 months before departure.  50% for cancellations 12 weeks prior to departure.   75% for cancellations between 12 weeks and 8 weeks prior to departure. and the entire cruise price for cancellations within two months prior to departure.

All cancellations must be in writing to American Dream Vacations.

I agree to the above stipulations and policies.   (signature_______________________________.

American Dream Vacations has recommended that I take cancellation insurance and they have provided me with a reputable insurance company through whom I can purchase this insurance if I so desire

I am paying $_______________________ for this cruise and authorize the use of my credit card. I authorize the two charges listed above, the deposit now and the final payment 90 days prior to departure.  I will make sure there is money available on my card to pay the second payment or I may loose my deposit.

I request that my Visa / Mastercard (circle one) be charged the above amount.

My card number is ___________________________ My expiration date is______________

The name as it appears on the card is ____________________________

The address to which my credit card bills are sent is ___________________________

______________________________________________________________________

My home telephone number is _____________________________________

This is my signature_________________________________________

I realize that credit cards can be stolen and used to make purchases. To prove that this credit card is mine I have enclosed is a photocopy of my Driver’s License with a sample of my signature. I have also enclosed is a copy of my photo page of my passport with a sample of my signature. A thief may have my card and drivers license but would not likely have both the drivers license and passport.

I agree to this proof of identity since it is impossible for me to had over my card and offer my drivers license in person.