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Statue of Liberty/Ellis island Immigration Museum 2021

Statue Cruises Community Group Form (now with audio tour included!)

Community Group Name: _____________________________________________________________

Address: ___________________________________________________________________________

Main Contact Name:______________________________Phone:_____________________________

Cell Phone: ______________ Fax:______________ Email:___________________________________

Departure Location _____ Liberty State Park, NJ or _____Battery Park, NY

Please select one:

__Reserve Time Ticket: Specify Arrival Date _____________ Time ___________

Pedestal Passes? Y/N (free access inside pedestal of Statue of Liberty, subject to availability)

__3-Day Flex Ticket: Specify Arrival Start Date ____________________________

|Ticket Type |Price | |Number of Requests | | Total |

|Statue of Liberty/Ellis Island | | | | | |

|Children (Age 4-12) |$12.00 |X | |= |$ |

|Adults |$23.50 |X | |= |$ |

|Seniors (62+) |$18.00 |X | | |$ |

|**Shipping | | |= |$ |

| Total | | |= |$ |

*One adult over the age of 21 years old is required per every 10 children. Reservations must be paid for two weeks prior to the trip date.

Comments or Any Special needs for your Group: ______________________________________________________

__________________________________________________________________________________________________________________________________________________________________________________________

Ticket Delivery Method: ___ E-ticket (45 tickets and under only) ___ Will Call Pickup ____ Mail (see below)

**Shipping charges: $8 First Class Mail/$25 FedEx 3-Day Delivery/$50 FedEx Overnight/$10 handling with customer’s FedEx account # provided.

A confirmation of your order will be sent via e-mail. If you do not receive a confirmation within 2 business days please call 201-432-6321, Group Sales.

I agree to provide one adult leader (over 21 years of age) for every 10 youths below the age of 21, who must remain with the group. Visitors with the group who are 18-20 years old do not qualify as chaperones.

By submitting this group information and ticket request form, I agree to follow all rules and regulations established by the National Park Service for the operation of the Statue of Liberty National Monument and the Ellis Island Immigration Museum.

__________________________________ __________________________________

Contact Name Today’s Date

Please email your order form to groups@ for processing

OR

Fax it to us at 201-432-1801

Please call 201-432-6321, group sales if you need any further assistance.

Thank you!

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