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Topics in Critical Care and Pulmonary Medicine: 2019 Update

11-Night Northern & Western Europe Cruise Conference from London, United Kingdom to Stockholm, Sweden
From London, England to Stockholm, Sweden
June 11 - 22, 2019

This conference has already sailed, but that doesn't mean you have to miss the boat! Click here to see our complete schedule of upcoming programs.

<em>Azamara Journey</em>
Azamara Journey

COURSE CREDITS & HOURS

14 AMA PRA Category 1 Credits™
14 ACPE Credits
14.0 Contact Hours
8 Hours of Pharmacology for NPs

COURSE FEES

TARGET AUDIENCE

Physicians, Physician Assistants, Nurses, Nurse Practitioners, Pharmacists

PROGRAM PURPOSE

Topics:
  1. Asthma
    • Recognize and Diagnose Asthma
    • Workup an asthmatic
    • Treatment according to 2017 GINA Guidelines
  2. Chronic Obstructive Pulmonary Disease (COPD)
    • Appreciate, Diagnose and treat COPD according to 2017 GOLD International Guidelines
    • Workup COPD patients
  3. Severe asthma
    • Learn the newer biologicals drugs
    • Understand Bronchial-thermoplasty
    • Understand how to prevent severe asthma
  4. Pulmonary Arterial Hypertension (PAH)
    • PAH is not a rare disease and the audience will be able to diagnose and manage the patients
  5. Idiopathic Pulmonary Fibrosis (IPF)
    • Understand IPF
    • Diagnose and treat IPF
  6. Community- Acquired Pneumonia (CAP)
    • Diagnose CAP
    • Prevent CAP
    • Treat CAP
  7. Ventilator-Associated Pneumonia
    • Prevent VAP
    • Diagnose VAP
    • Treat VAP
  8. Extracorporeal Membrane Oxygenation (ECMO)
    • New Understanding for this form of cardiorespiratory support
    • Manage the patients
  9. Vit C and S for the Treatment of Septic Shock
    • Understand the history of steroid usage in Septic Shock
    • Appreciate the treatmnet of Septic Shock
  10. Fluid Management in Septic Shock
    • After diagnosis the role of fluid resuscitation to get blood pressure up and its complications
  11. Ethics
    • Understand the role of ethics in medicine
    • Case presentation will be explained to highlight points
  12. Pulmonary Embolus
    • How to prevent
    • How to diagnose
    • How to treat PE
  13. Acute Respiratory Distress Syndrome (ARDS) initial diagnosis was 50 years ago
    • Diagnose ARDS
    • Understand the treatment and controversies
  14. Respiratory failure
    • Diagnose Respiratory failure
    • Treat Respiratory failure

IMPORTANT INFORMATION

PLEASE NOTE: To attend the conference, participants must book their cruise through Continuing Education, Inc.. This ensures our company can provide full conference services and complimentary social amenities to all meeting participants and their guests. Note also, that participants' family and friends are welcome to book within our group to take advantage of our typically excellent cruise rates. Thank you for your cooperation.
BIAS FREE CME - No Commercial Support was provided for this CME activity.

Faculty

Mark Rumbak, MD

Mark Rumbak, MD

Dr. Rumbak is a Professor of Medicine, Division of Pulmonary, Critical Care & Occupational Medicine in the Department of Internal Medicine, at the University of South Florida College of Medicine, Tampa, Florida. He is the Director of Bronchoscopy & Chief in the Clinical Research Unit, Pulmonary & Critical Care at James A. Haley Veterans' Hospital, Tampa, Florida. 

Dr. Rumbak is from Johannesburg, South Africa, where he went to medical school and did his residency and Fellowship in Pulmonary and Critical care medicine. He came to the US IN 1987, spent five years at the University of Tennessee in Memphis, and then came to the University of South Florida in Tampa. Dr Rumbak's main interest is interventional pulmonary medicine, including pulmonary arterial hypertension. He is the Governor for Florida for the American College of Chest Physicians. He is a full professor and is on staff at four hospitals including the James A Haley Hospital, Tampa General Hospital and Florida Hospital, Tampa.

Accreditation

 Joint Accreditation

In support of improving patient care, Continuing Education, Inc./University at Sea® is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

 

Accreditation Council for Continuing Medical Education

Credit Designation for Physicians: Continuing Education, Inc. designates this live activity for 14 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

 

Osteopathic Physicians: This program is eligible for Category 2 credit with the American Osteopathic Association (AOA).

US or Canadian Family Physicians: Please let us know if you require AAFP Prescribed Credits.

 

ANCC

Credit Designation for Nurses: Continuiung Education, Inc. designates this continuing nursing education activity for 14 contact hours.
Accredited status does not imply endorsement by Continuing Education, Inc./University at Sea® or ANCC of any commercial products displayed or used with an activity.

Nurse Practitioners: Can claim either ANCC Contact Hours or AMA PRA Category 1 CreditsTM as needed.  Pharmacology credits are identified on individual activities.

ROYAL COLLEGE MOC

 

Royal College of Physicians and Surgeons of Canada:
Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.

College of Family Physicians of Canada

 

College of Family Physicians of Canada (CFPC)
The College of Family Physicians of Canada (CFPC) has a reciprocal credit reporting agreement with the American Academy of Family Physicians (AAFP). Prescribed credits can be claimed as the equivalent number of certified credits, and Elective credits can be claimed as the equivalent number of non-certified credits.

Members of the CFPC may claim up to 50 credits per five-year cycle from Physician's Recognition Award (PRA) Category 1 credits. Any additional credits are eligible as non-certified credits.

Accreditation Council for Pharmacy Education

Credit Designation for Pharmacists: This knowledge-based activity is approved for 14 hours of pharmacy continuing education credit.

ITINERARY

DATE PORT OF CALL ARRIVE DEPART
Tue Jun 11 London, England - -
Wed Jun 12 London, England
(Tendered) Lectures: 1:00pm - 5:00pm*
- 1:00 pm
Wed Jun 12 Amsterdam, The Netherlands
Docked*
9:00 am 5:00 pm
Fri Jun 14 Keil, Germany
Lectures: 8:00 am - 12 Noon*
11:00 am 8:00 pm
Sat Jun 15 Copenhagen, Denmark 8:00 am 10:00 pm
Sun Jun 16 At Sea - Cruising
Lectures: 8:00 am -12 Noon 1:00 pm - 5:00 pm*
- -
Mon Jun 17 Helsinki, Finland 9:00 am 5:00 pm
Tue Jun 18 St. Petersburg, Russia
VISA REQUIRED*
8:00 am -
Wed Jun 19 St. Petersburg, Russia
Docked*
- -
Thu Jun 20 St. Petersburg, Russia
Docked*
- 6:00 pm
Fri Jun 21 Tallinn, Estonia
Docked*
8:00 am 3:00 pm
Sat Jun 22 Stockholm, Sweden 6:30 am -
*Tentative course schedule, actual class times may differ.
Azamara Journey June 11 Map

PORTS OF CALL

London, England -  In one of the world's great cities, take in bustling Victoria Station, the beauty of Westminster Abbey, the history of Parliament, and the pomp of Buckingham Palace. Oh, and then there are the "Elgin Marbles" at the British Museum and the Crown Jewels in the Tower of London. Or see Baker Street, where Sherlock Holmes is said to have lived. After all (or at least some) of that make what might be the most important stop of all for last, grab a pint at a corner pub.

Amsterdam, The Netherlands - Here in Amsterdam, you can decide whether the real masterpieces are the gabled houses that flank graceful canals, or the van Goghs, Rembrandts and Vermeers that cover the walls of the city's grand museums.

Keil, Germany - Keil (Hamburg), Germany When most people think of cities, they picture bustling streets, vibrant markets and endless entertainment. And as Germany's second-largest city, Hamburg features all these urban essentials. But with some 1,400 parks and gardens and over 2,300 bridges (more than Amsterdam and Venice combined) Hamburg mixes rural rejuvenation with metropolitan flair.

Copenhagen, Denmark - Denmark's capital is sophisticated, saucy and friendly. Stroll the fairytale world of Tivoli Gardens to take in bright lights, castles that out-Disney Disney. See the city's 200- year-old Royal Palace, the lively Old Harbor - Hans Christian Andersen lived here. Salute the Little Mermaid, symbol of this light-hearted city.

At Sea - Cruising - Cruising

Helsinki, Finland - Shaped by its bays and isles, it's one of Europe's most scenic capitals. Hear a Sibelius concert, tour across the Arctic Circle to Lapland, land of Santa Claus, reindeer and the Midnight Sun. Buy a birchbark basket.

St. Petersburg, Russia - Since its founding by Peter the Great in 1703, St. Petersburg has been one of the most impressive cities in Russia, Europe and the world. Marvel at the Baroque and neoclassical architecture on display within its UNESCO World Heritage historical center. Enjoy the relaxing charm of the Baltic Sea as you stroll along it. Cruise to St. Petersburg and hop on a boat and see the colorful variety of the city's sights and architecture on a canal tour. Or spend the day meandering the action-packed 3.5-mile stretch of Nevsky Prospect, where you'll find the can't-miss Cathedral of Our Lady of Kazan and plenty of cafes where you can fuel up on cured sausage and thick rye bread.

*Visas are included with most shore excursions. If you wish to explore St. Petersburg on your own, however, a visa will be required; obtaining one can take some time, so please begin the visa process immediately.

Tallinn, Estonia - Tallinn offers the perfect introduction to Estonia. After decades of occupation by the Soviet Union in the late 20th century, Tallinn is a little like a teenager in rebellion. The thriving nightlife and dance hall scene breathe life into the city, while colorful new districts like Creative City give residents and visitors alike a contemporary perspective of Tallinn. The UNESCO World Heritage Site of Old Town is a visitor favorite, with its quaintly cobblestoned streets teeming with history.

Tallinn is a laidback city with an adventurous heart. You’ll be surprised by the versatile, chameleon nature of the city, whether you’re strolling the grounds at Kadriorg Park or capturing that ideal Instagrammable shot from the lookout point at Kohtuotsa. Preserved towers and baroque churches offer a visual mix of cultures and aesthetics. Animal lovers will find plenty to see at the Tallinn Zoo, and art enthusiasts will enjoy an afternoon at the Kumu Art Museum.

Stockholm, Sweden - There’s just something about Stockholm, Sweden’s capital and beating heart. It’s an intellectual city like Berlin and brimming with cultural artifacts like Rome. On a Scandinavia cruise, Stockholm is a bit of a wildcard. It’s a leader in the design space that put Scandinavian minimalism on the map. The city is home to an array of museums, historic buildings, and genuinely delicious eats scattered across the 14 connected islands that comprise it. Stockholm is also a pioneer in the foodie scene, where expensive delicacies and down-to-earth street foods collide.

For a city that has been around since the 13th century, Stockholm balances hundreds of years of history with a sleek, modern energy. On your Stockholm cruise, don’t miss a walking tour through the cobblestoned streets of Gamla Stan, the Old Town. Spend an afternoon at the Nationalmuseum or the Vasa Museum, and you’ll leave with more knowledge about Vikings and Swedish art than you ever thought possible. Because Stockholm is a set of islands connected by bridges, there’s often a light breeze and plenty of opportunities for swimming, kayaking, and water sports during the summer months. Stockholm is the perfect introduction to the finer things in life in Scandinavia.

Azamara Journey

PLEASE NOTE: To attend the conference, participants must book their cruise through Continuing Education, Inc.. This ensures our company can provide full conference services and complimentary social amenities to all meeting participants and their guests. Note also, that participants' family and friends are welcome to book within our group to take advantage of our typically excellent cruise rates. Thank you for your cooperation.

Register your interest and receive a full quote at 800-422-0711 (US/Can) or direct/int'l tel: +1-727-526-1571 or by registering online.
STATEROOM DETAILS
PRICING PER PERSON

Prices below are for the full cruise including meals and evening entertainment

Suite/Deluxe

Club World Owner's Suite, CW Club World Owner's Suite (CW)
Spacious living room with a separate master bedroom. Master bedroom with one king size bed and a 40” flat-screen television. 55” flat-screen television in living room. Marble master bath with tub and shower. Dressing room with vanity and ample closet space. Floor-to-ceiling sliding glass doors in living room and master bedroom. Refrigerator with mini-bar, thermostat-controlled air conditioner, direct-dial telephone with voice mail, writing desk, in-room safe, and hand-held hair dryer. Stateroom: 603 sq. ft. Balcony: 233 sq. ft. 
Call: 800-422-0711
and we'll find the best value for you.
Club Ocean Suite, CO Club Ocean Suite (CO)
Spacious living room with a separate master bedroom. Master bedroom with one king size bed and a 40” flat-screen television. 55” flat-screen television in living room. Marble master bath with tub and shower. Dressing room with vanity and ample closet space. Floor-to-ceiling sliding glass doors in living room and master bedroom. Refrigerator with mini-bar, thermostat-controlled air conditioner, direct-dial telephone with voice mail, writing desk, in-room safe and hand-held hair dryer. Stateroom: 478 sq. ft. Balcony: 173 sq. ft. 
Call: 800-422-0711
and we'll find the best value for you.
Club Continent Suite, N1 Club Continent Suite (N1)
Two lower beds convertible to one queen size bed. Spacious and comfortable sitting area. 55” flat-screen television in sitting area and roomy bathroom with shower, some also feature a tub. Floor-to-ceiling sliding glass doors and veranda. Refrigerator with mini-bar,thermostat-controlled air conditioner, direct-dial telephone with voice mail, writing desk, in-room safe and hand-held hair dryer. USB ports under bedside reading lamps. Stateroom: 266 sq. ft. Balcony: 60 sq. ft. 
Call: 800-422-0711
and we'll find the best value for you.
Club Continent Suite, N2 Suite/Deluxe Club Continent Suite (N2)
Two lower beds convertible to one queen size bed. Spacious and comfortable sitting area. 55” flat-screen television in sitting area and roomy bathroom with shower, some also feature a tub. Floor-to-ceiling sliding glass doors and veranda. Refrigerator with mini-bar,thermostat-controlled air conditioner, direct-dial telephone with voice mail, writing desk, in-room safe and hand-held hair dryer. USB ports under bedside reading lamps. Stateroom: 266 sq. ft. Balcony: 60 sq. ft.
Call
800-422-0711
for Pricing
Club Spa Suite, SP Suite/Deluxe Club Spa Suite (SP)
Newly built suites in 2016 with an elegant organic décor. Two lower beds convertible to one queen size bed. Spacious glass-enclosed bathtub and separate rain shower. Comfortable sitting area with 55” flat-screen television. In-room spa music, floor-to-ceiling sliding glass doors, veranda and refrigerator with mini-bar. Thermostat-controlled air conditioner, direct-dial telephone with voice mail, writing desk, in-room safe, and hand-held hair dryer. Stateroom: 414 sq. ft. Balcony: 60 sq. ft.
Call
800-422-0711
for Pricing

Balcony

Club Deluxe Veranda, VX Club Deluxe Veranda (VX)
Two lower beds convertible to one Queen size bed. Comfortable sitting area with 40” flat-screen TV, veranda, refrigerator with mini-bar, thermostat-controlled air conditioner, direct-dial telephone with voice mail, writing desk, in-room safe, and hand-held hairdryer. Stateroom: 175 sq. ft. Balcony: 46-64 sq. ft. 
Call: 800-422-0711
and we'll find the best value for you.
Club Veranda, V2 Club Veranda (V2)
Two lower beds convertible to one Queen size bed, 40” flat-screen TV, veranda, refrigerator with mini-bar, thermostat-controlled air conditioner, direct-dial telephone with voice mail, writing desk, in-room safe, and hand-held hairdryer. Stateroom: 175 sq. ft. Balcony: 40 sq. ft. 
Call: 800-422-0711
and we'll find the best value for you.
Club Veranda, V1 Balcony Club Veranda (V1)
Two lower beds convertible to one Queen size bed, 40” flat-screen TV, veranda, refrigerator with mini-bar, thermostat-controlled air conditioner, direct-dial telephone with voice mail, writing desk, in-room safe, and hand-held hairdryer. Stateroom: 175 sq. ft. Balcony: 40 sq. ft.
Call
800-422-0711
for Pricing
Club Veranda, V3 Balcony Club Veranda (V3)
Two lower beds convertible to one Queen size bed, 40” flat-screen TV, veranda, refrigerator with mini-bar, thermostat-controlled air conditioner, direct-dial telephone with voice mail, writing desk, in-room safe, and hand-held hairdryer. Stateroom: 175 sq. ft. Balcony: 40 sq. ft.
Call
800-422-0711
for Pricing

Outside

Club Oceanview Stateroom, 05 Club Oceanview Stateroom (05)
Two lower beds convertible to one Queen size bed, some staterooms feature sofa bed, 40” flat-screen TV, veranda, refrigerator with mini-bar, thermostat-controlled air conditioner, direct-dial telephone with voice mail, writing desk, in-room safe, and hand-held hairdryer. Stateroom: 143 sq. ft. 
Call: 800-422-0711
and we'll find the best value for you.
Club Oceanview Stateroom, 04 Outside Club Oceanview Stateroom (04)
Two lower beds convertible to one Queen size bed, some staterooms feature sofa bed, 40” flat-screen TV, veranda, refrigerator with mini-bar, thermostat-controlled air conditioner, direct-dial telephone with voice mail, writing desk, in-room safe, and hand-held hairdryer. Stateroom: 143 sq. ft.
Call
800-422-0711
for Pricing
Club Oceanview Stateroom, 06 Outside Club Oceanview Stateroom (06)
Two lower beds convertible to one Queen size bed, some staterooms feature sofa bed, 40” flat-screen TV, veranda, refrigerator with mini-bar, thermostat-controlled air conditioner, direct-dial telephone with voice mail, writing desk, in-room safe, and hand-held hairdryer. Stateroom: 143 sq. ft.
Call
800-422-0711
for Pricing
Club Oceanview Stateroom (Obstructed Views), 08 Outside Club Oceanview Stateroom (Obstructed Views) (08)
Two lower beds convertible to one Queen size bed, some staterooms feature sofa bed, 40” flat-screen TV, veranda, refrigerator with mini-bar, thermostat-controlled air conditioner, direct-dial telephone with voice mail, writing desk, in-room safe, and hand-held hairdryer. Stateroom: 143 sq. ft.
Call
800-422-0711
for Pricing
Club Interior Stateroom, 09 Outside Club Interior Stateroom (09)
Two lower beds convertible to one Queen size bed, 40" flat-screen television, refrigerator with mini-bar, thermostat-controlled air conditioner, direct-dial telephone with voice mail, writing desk, in-room safe and hand-held hairdryer. Stateroom: 158 sq. ft.
Call
800-422-0711
for Pricing
Club Interior Stateroom, 11 Outside Club Interior Stateroom (11)
Two lower beds convertible to one Queen size bed, 40" flat-screen television, refrigerator with mini-bar, thermostat-controlled air conditioner, direct-dial telephone with voice mail, writing desk, in-room safe and hand-held hairdryer. Stateroom: 158 sq. ft.
Call
800-422-0711
for Pricing
Club Interior Stateroom, 12 Outside Club Interior Stateroom (12)
Two lower beds convertible to one Queen size bed, 40" flat-screen television, refrigerator with mini-bar, thermostat-controlled air conditioner, direct-dial telephone with voice mail, writing desk, in-room safe and hand-held hairdryer. Stateroom: 158 sq. ft.
Call
800-422-0711
for Pricing

Inside

Club Interior Stateroom, 10 Club Interior Stateroom (10)
Two lower beds convertible to one Queen size bed, 40" flat-screen television, refrigerator with mini-bar, thermostat-controlled air conditioner, direct-dial telephone with voice mail, writing desk, in-room safe and hand-held hairdryer. Stateroom: 158 sq. ft. 
Call: 800-422-0711
and we'll find the best value for you.
Prices are Per Person, Double Occupancy, Subject to change
Port Charges, Taxes & Fees $641.11 per person
Deposit $550 per person
Automatic $100/person cancellation fee once the reservation is made.
Cancellation Policies vary by cruise line, destination and sailing date.
Please check with one of our cruise consultant for other cancellation policies applicable to this cruise.

Important Note: Not all staterooms within each category have the same furniture configuration and/or facilities. Appropriate symbols within the rooms on the deck plans describe differences from the stateroom descriptions . All information is subject to change.

3rd/4th in Stateroom - Please call to secure the best possible pricing

Cruise pricing is presented per person, based double occupancy of the stateroom, following industry practice. Pricing presented above is listed accordingly to allow easy comparison for the stateroom categories displayed. Our agents always provide 'total cost' pricing disclosing all particulars before you make any commitment.

COMPETITIVE PRICING PROMISE: We will match any price currently offered by the cruise line; this promise includes their short-term, promotional rates. As a value-added organizer of meetings at sea, however, we do not seek to compete with 'cruise discounters,' 'travel clubs,' or 'distressed inventory' sales operations.
PRICING SUBJECT TO CHANGE: Because this sailing is departing soon, no fares are displayed above; Call us to request a quote of current, market rate fares. Those fares, the same as offered directly by the cruise line, are subject to change at any time until held with a deposit or full payment of the fare. Market rates are capacity and revenue controlled, do fluctuate, and can be withdrawn without notice.
CANCELLATION PENALTY POLICY WILL APPLY: We recommend Travel Insurance to protect your investment from unexpected, late cancellations.
Cruise Cancellation Policy:Late Cancellation policies vary by cruise line, itinerary and length of cruise. When reserving your stateroom, please congirm the policy applicable to this cruise with one of our agents.
Course Fee Cancellation Policy: 30+ days before sailing date - 75% Refund ; 7-29 days before sailing date - 50% Refund; Less than 7 days before sailing date - No Refund
FUEL SUPPLEMENT: During periods of unusual oil price volatility, cruiselines may implement a fuel surcharge at any time prior to sailing.

Chubb Travel Protection Overview

Please note, this insurance protection is available to the residents of the United States only,
that coverage limits are per person and that limits can vary by State.

Standard Plan Benefits Travel Basics Travel Essentials Travel Choice
Trip Cancellation 100% of Trip Costs
($100,000 maximum)
100% of Trip Costs
($100,000 maximum)
100% of Trip Costs
($100,000 maximum)
Trip Interruption 100% of Trip Costs
($100,000 maximum)
150% of Trip Costs
($150,000 maximum)
150% of Trip Costs
($150,000 maximum)
Trip Interruption - Return Air Only $500 $750 $1,000
Trip Delay $500 ($100 per day) $750 ($150 per day) $1,000 ($200 per day)
Missed Connection NA $250 $500
Baggage & Personal Effects $750 ($50 deductible) $1,000 $2,500
Baggage Delay $200 $300 $500
Accident & Sickness Medical Expense* $15,000 ($50 deductible) $25,000 $50,000
Emergency Evacuation & Repatriation of Remains $150,000 $500,000 $1,000,000
Accidental Death & Dismemberment NA $10,000 $50,000
Assistance Services Included Included Included
Additional Benefits (if purchased within 15 days of Initial Trip Payment; Day 1 is the date the Intial Trip Payment is made)
Pre-Existing Medical Condition Exclusion Waiver Included Included Included
Trip Cancellation/ Interruption due to Financial Default Included Included Included
Accident Sickness Medical Expense Excess Coverage Primary Coverage Primary Coverage
Baggage & Personal Effects Excess Coverage Excess Coverage Primary Coverage
Flight Accident $25,000 $50,000 NA
Missed Connection NA Additional $250 Included in base plan
Optional Benefits (if selected byt the Applicant and required premium is paid)
Medical Coverage Upgrade Included in base plan Included in base plan Additional $50,000
including Emergency Evacuation* Additional $150,000 Additional $500,000 Included in base plan
Car Rental Collision Coverage $35,000 ($250 Deductible) $35,000 ($250 Deductible) $35,000 ($250 Deductible)
Flight Accident Amount selected up to $500,000 Amount selected up to $500,000 NA
*Coverage, pricing and availability may vary by state
*Additional Benefits change not available for CA, CO, KS, MN, MO, MT, NH, NY, PA, TX or WA residents at this time.


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Questions?
Call us at 800.422.0711 (US & Canada)
Or +1-727-526-1571
We can assist you with all your travel arrangements. We'd be happy to help you plan your flights, hotels or tours before and/or after your cruise conference.

Contact Our Travel Agents to Book Now.

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