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Indie Cruise Registration Form
Your Full Name
*
Exactly as it appears on your passport
First
Middle
Last
Your Email Address
*
Your Mobile Phone Number
*
Your Other Phone Number
This can be home or office.
Name of Emergency Contact
*
(Who should we call in the event of an emergency?)
First
Last
Emergency Contact Number
*
Birthdate
*
Month
Day
Year
Your Street Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
What is the name of your business? If you do not have a business, say that.
*
Are you an Indie Business Network™ Member?
*
yes
no
What is your website URL? If you do not have a website, include any public social media outlet you use.
*
What is your Instagram url?
*
If you do not have an Instagram account, please say that.
If you have any special needs or health-related requests, share them with us in the space provided and we will do our best to accommodate you:
Which room category do you plan to reserve?
*
Until your deposit and first payment are received, prices are subject to change based on availability.
EXPLORER COVE – Single Member pricing $2,905 per person
EXPLORER COVE – Double Member pricing $1,780 per person
EXPLORER COVE – Family Suite pricing $6,365
CARIBBEAN PARADISE SEA VIEW – Single Member pricing $4,944 per person
CARIBBEAN PARADISE SEA VIEW – Double Member pricing $2,650 per person
EMERALD JUNGLE/ZEN OASIS – Single Member pricing $3,540 per person
EMERALD JUNGLE/ZEN OASIS – Double Member pricing $2,130 per person
ARCHIPELAGO – Single Member pricing $5,705 per person
ARCHIPELAGO – Double Member pricing $3,330 per person
Do you plan to reserve your room for any days before or after Indie Retreat (before January 14 or after January 19)?
*
The same low block rate applies for additional nights!
yes
no
If you clicked "yes" to the above, please list the exact dates you are requesting in the space below.
(Additional payment will be required to reserve additional dates.)
If you have a roommate, please type his or her name here.
IMPORTANT NOTE: your roommate needs to register as well, so please make sure they do so!
First
Last
Would you like for us to help you find a roommate?
*
yes
no
Are you a smoker?
*
All rooms are non-smoking. There are some smoking areas at the resort. If you are a smoker, and you need a roommate, we will try to help you connect you with another smoker so you can be more comfortable throughout your retreat. For your comfort and consideration, we will not pair smokers with non-smokers without prior written agreement of both parties.
yes
no
Would you like a travel insurance quote?
*
Travel insurance is NOT provided with this trip. It is your responsibility to secure travel insurance if desired, and we recommend that you do so.. If you would like us to provide you with a travel insurance quote, please click the “yes” above and we will contact you will be contacted via the phone and email address provided on this registration form.
yes, send me a quote
no, I decline travel insurance
Cancellation policy agreement
*
If a reservation is canceled before Friday, September 29, 2023, you will receive a refund of all payments made, minus the $60.00 non-refundable deposit. If you cancel your reservation between September 30 – October 26th, you will receive a refund of 50% of the amount paid, minus the $60.00 non-refundable deposit. If you cancel your reservation on or after Friday, October 27th, 100% of the amount paid is NON–REFUNDABLE.
Yes, I have read and agree to the cancellation policy
Payment obligations agreement
*
Click the “YES” button above to confirm your understanding that your registration for Indie Business Cruise is not complete until your deposit is received and your signed Insurance Waiver and Terms and Conditions are returned.
Yes, I have read and understand the payment obligation
COVID-19 Consent
*
By checking this box, I agree that I am ready, willing, and able to produce a negative COVID-19 test and/or produce proof of COVID-19 vaccination, if it should be required.
Yes, I consent to any COVID-19 requirments
Data storage consent
*
Indie Business Network will send or share the data on this form with the contractors, employees, and/or vendors of the RIU Hotels & Resorts and the Indie Business Network.
Yes, I agree
Δ
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