Battery Park, New York, NY 10004 . Liberty State Park, Jersey City, NJ 07305 . 201-432-6321

Statue of Liberty/Ellis island Immigration Museum 2017

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 ______

Optional- 9/11 Museum: __ 2:30pm __ 4:30pm (Passes must be pre-paid at time of booking. Group Sales will contact you for payment. 911 Museum Passes are non-refundable.)

Ticket Type / Price / Number of Requests / Total
Statue of Liberty/Ellis Island
Children (Age 4-12) / $9.00 / X / = / $
Adults / $18.50 / X / = / $
Seniors (62+) / $14.00 / X / $
911 Museum
911 Museum Adult / $24 / X / $
911 Museum Senior / $18 / X / $
911 Museum Child / $15 / X / = / $
Liberty Landing Commuter Ferry between Liberty State Park, NJ and World Financial, NY
One Way / $5.00 / X / = / $
Roundtrip / $7.50 / X / = / $
Wall Street Experience Combo: Walking tour of Wall Street with Statue of Liberty
Adult / $28.50 / X / = / $
Child/Student/Chaperone / $19.00 / 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 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!