Registration Form - New Year's Cruise | Heavenly Matched Travel

Primary Traveler Information

Name (Exactly as it appears on Passport)

Date of Birth

Passport Number

Passport Expiration Date

Street Address

City

State

Zip Code

Email Address

Contact Number (Cell)

Travel Mate Information

Travel Mate Name

Date of Birth

Passport Number

Passport Expiration Date

Street Address

City

State

Zip Code

Email Address

Contact Number (Cell)

Package Details

Package Selection

How Many Packages?

Payment Schedule

Payment Type	Due Date	Amount Due
Non-refundable/Non-transferable deposit	Now	$75.00
2nd Payment	April 14, 2026	$275.00
3rd Payment	June 14, 2026	$275.00
4th Payment	August 14, 2026	$275.00
Final Payment	October 15, 2026	Balance Due

Deposit Enclosed:

Check Zelle Money Order Visa/MC (Add 3.5%) AMEX (Add 3.5%)

Credit Card Number (If Applicable)

Expiration Date

Mailing & Contact Information

Make Checks Payable to: Heavenly Matched Travel Ministry

Mail to: P.O. Box 8182, Houston, Texas 77288

Contact: Ronald Ward | Phone: (713) 520-8005 | Fax: (713) 520-8095

Email: Heavenly-Matched@hotmail.com

Cancellation Policy & Terms

Late Fees: A $100.00 late fee applies for payments received after the Final Payment Date.

Cancellations:
• Cancellations made inside 90 days of travel incur a 50% penalty.
• Cancellations made after the final payment date incur a 100% cancellation penalty.

*Heavenly Matched reserves the right to reschedule travel related to safety and/or weather-related conditions.

Traveler Signature

Date