NOTE: This form needs to be completed separately for each person traveling.

Cruise you are registering for Please Select Your Cruise Holiday Cruise - Dec 1, 2008 Paranormal Cruise 2 - December 7, 2008 Green Ribbon Rally Cruise - Dec. 11, 2008 All About Me Cruise Jan 10, 2009

Name    

Address

City State StateALAKASAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMONENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Zip

Home Phone     Area Code   Number

Work Phone      Area Code   Number

Cell Phone        Area Code   Number

Email:

Birth Date             If Married, your anniversary date

               Month/Day/Year                                                            Month/Day/Year

US Citizen    Yes     No

If not a US Citizen, what is you Citizenship

Stateroom Type Select Stateroom TypeBalconyOcean ViewInside

Do you want Travel Insurance?     Yes     No

Do you want to pre-pay your Gratuities?    Yes     No

Special Diet NoneLow SodiumHeart HealthyDiabeticKosherOther If Other

Need a Roommate?     Yes    No

If No I am Rooming With:

Note: If you need a roommate we will try and find one, of the same sex, for you.

(If we do not receive another single person request you will be charged a single supplement rate.)

Emergency Contact

Name  

Relationship

Phone    Area Code     Number

Payment    Check/Money Order    

__________________________________________________________________________________________________________________________________

To help us get to know you better, please answer the questions below.

The information you give us will be kept private. We will not sell or release it to anyone unless you tell us to.

When do you usually take a major vacation? (check all that apply)

 Summer Fall Winter Spring

Check all the statements that you feel apply to you:

I take more vacations than most people do.                                         I usually select budget hotels.

I like familiar, North American destinations (e.g. U.S. or Canada)            I usually stay at mid-priced hotels

I like vacations to places that are a little less familiar (e.g. Europe)        I usually stay at luxury hotels

I like exotic destinations (e.g. Africa and Asia)                                     I usually plan my travel 6 months in advance

I like cruises (or would like to try one)                                                 I usually plan my travel about 3-5 months in advance

I like organized tours (or would like to try one)                                     I usually plan my travel less than 3 months in advance

My vacation travel involves children                                                     I can travel at the last minute, if a great deal comes up

I often take a vacation as a single                                                      I travel a lot for business

Check each box that reflects what appeals to you on vacation:

Adventure                        Entertainment/Shows                        Shopping

All-inclusive resorts           Fine dining/wine                               Skiing/snowboarding

Art/culture/museums        Gambling                                        Spas

Boating/yachting              Golf                                                Tropical resorts

City tours                   Independent fly/drive trips                Villas

Dining                            Luxury Lodging                                Walking/hiking

Ecotourism                     Safaris                                           

Check all that apply:

How many leisure trips do you take a year?    1    2    3    4    5 or more

How long do your vacation trips usually last?  3-4 days    5-7 days    8-15 days    16+ days

How much do you typically spend, per person, for a 7 day trip?

$0-1,500 $1,501-3,000 $3,001-4,000 $4,001-6,000 $6,000+

Check YES or NO

Yes    No    I'd like to be kept up-to-date on any regular or special offers you may have

Yes    No    I'd like to receive information from other companies you do business with (i.e., you may share my info with others)

Yes    No    I'd like to receive information from you via regular mail to my home+

Yes    No    I'd like to receive information from you via e-mail

If yes: Your email address is: 

Thank You for helping us get to know you!

Additional Comments or Questions

NOTE: Once you hit the SUBMIT Button, You acknowledge, that you have entered into a legal & binding contract, to purchase travel.