CONTACT
INFORMATION... Thank
you, for taking the time to visit .
The Number One Site for Discount
Cruises. We represents
all major cruise lines and resorts at
the lowest possible prices. If
you are considering a cruise and need
your rates immediately, please call
our office directly TOLL FREE at:
1-866-878-8785 .
Otherwise, please take the time to
complete our form in it's entirety.
This will help in processing your
request in a more timely manner.
If
you are already booked on a cruise
with another agency, please do not
submit a request for a cruise quote
from our agency. Continue to visit
our site often and consider us
next time you're ready to book. We
look forward to serving you.
Please
complete the form below. A Cruise
Specialist will contact you at your
convenience according to your
requested time, and answer any
questions regarding this (or any
other) special.
* First Name:
* Last Name:
* Address:
* City:
* State:
British Columbia
District of Columbia
Nova Scotia
Ontario
Province of Quebec
Puerto Rico
Sasakathwan
Virgin Islands
OTHER...(specify below)
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
* Zip:
Country:
Australia
Canada
England
France
Israel
Italy
Japan
Kenya
Mexico
South Africa
Spain
U.S.A.
OTHER...(specify below)
If other...specify:
* Home Phone:
Work
Phone:
* E-Mail Address:
* Confirm E-Mail Address:
How did
you find us?
AOL
Yahoo!
Lycos
Snap
MSN
Excite
Alta Vista
Go Network (Infoseek)
Google
Ask Jeeves
Dogpile
OTHER...
Recommended by someone
CRUISE
QUOTE INFORMATION...
* When is your first preferred travel
month? *
MONTH #1:
January
February
March
April
May
June
July
August
September
October
November
December
* When is your first preferred travel
year & week? *
YEAR
& WEEK #1:
(2008) 1st WEEK
(2008) 2nd WEEK
(2008) 3rd WEEK
(2008) 4th WEEK
(2008) 5th WEEK
(2009)
(2009) 1st WEEK
(2009) 2nd WEEK
(2009) 3rd WEEK
(2009) 4th WEEK
(2009) 5th WEEK
(2010)
(2010) 1st WEEK
(2010) 2nd WEEK
(2010) 3rd WEEK
(2010) 4th WEEK
(2010) 5th WEEK
When is
your second preferred travel
month? MONTH
#2:
January
February
March
April
May
June
July
August
September
October
November
December
When is
your second preferred travel
year & week? YEAR
& WEEK #2:
(2008) 1st WEEK
(2008) 2nd WEEK
(2008) 3rd WEEK
(2008) 4th WEEK
(2008) 5th WEEK
(2009)
(2009) 1st WEEK
(2009) 2nd WEEK
(2009) 3rd WEEK
(2009) 4th WEEK
(2009) 5th WEEK
(2010)
(2010) 1st WEEK
(2010) 2nd WEEK
(2010) 3rd WEEK
(2010) 4th WEEK
(2010) 5th WEEK
* Where to cruise?
Alaska
Bahamas
Bermuda
Canada / New England
Europe
Caribbean (Eastern)
Caribbean (Western)
Caribbean (Southern)
Far East / Asia
Hawaii
Mediterranean
Mexico Riviera (West Coast)
Panama Canal
South America
World Cruise
OTHER...
* For how many days?
3 Days
4 Days
5 Days
7 Days
10 Days
11 Days
12 Days
15 Days
More Than 15 Days...
* Which cruise line?
American Hawaii
Begen Line
Cape Canaveral
Carnival
Celebrity
Costa
Crystal
Cunard
Delta Queen Stm. Bt.
Disney
First European
Holland America
Norwegian
Orient
Princess
Radisson Seven Seas
Royal Caribbean
Seabourne
Silversea
Windstar
Which
cruise ship? Please
limit your choice to 2 or 3 vessels.
Do you
need air transportation? Yes
No
(if yes)
from which city?
* What type of
accommodations?
Inside Stateroom
Outside Stateroom
Outside Stateroom with Balcony
Suite
How many
staterooms?
1
2
3
4
5
6
7
8
9
10
11 or more...
How many
people in each?
1
2
3
4
5
If this is
a group...what type? (8 cabins or more)
ADDITIONAL
DETAILS & COMMENTS...
* Would you like to
receive our cruise
mailing?
Yes
No
Are you a
past passenger of this Cruise
Line? Yes No
What
cruise lines have you sailed on?
How many
cruises have you been on?
1
2
3
4
5
6
7
8
9
10
11 or more...
Are you or
anyone over 55 yrs of age? Yes No
Have you
booked with us before? Yes No (if yes)
Who was
your agent?
What is
your dining preference?
Early Seating, Non-Smoking
Early Seating, Smoking
Late Seating, Non-Smoking
Late Seating, Smoking
How do you
rate our site? (10 being the best)
10
9
8
7
6
5
4
3
2
1
FINAL
COMMENTS / NOTES: (include
feedback & info not covered on
this form)
