Mr. Mrs. Ms. First Name: Last Name: E-Mail Address: Daytime Phone: ( This Number Will Be Used To Confirm Reservation Fax Number: ( Mailing Address: City, State / Province: Country, Zip Code: Cruise Destinations / Area: Cruise Line #1:
(Any Cruise Line)
American Hawaii Cruises
Bergen Line, Inc.
Carnival Cruise Lines
Celebrity Cruises, Inc.
Commodore Cruise Line
Costa Cruise Lines
Crystal Cruises
Cunard Line Ltd.
Disney Cruise Line
Holland America Line
Mediterranean Shipping Cruises (USA)
Norwegian Cruise Line
Orient Lines, Inc.
Premier Cruises
Princess Cruises
Radisson Seven Seas Cruises
Regal Cruises
Royal Caribbean International
Royal Olympic Cruises
Seabourn Cruises Line
Silversea Cruises
Windstar Cruises
Cruise Line #2:
(None)
American Hawaii Cruises
Bergen Line, Inc.
Carnival Cruise Lines
Celebrity Cruises, Inc.
Commodore Cruise Line
Costa Cruise Lines
Crystal Cruises
Cunard Line Ltd.
Disney Cruise Line
Holland America Line
Mediterranean Shipping Cruises (USA)
Norwegian Cruise Line
Orient Lines, Inc.
Premier Cruises
Princess Cruises
Radisson Seven Seas Cruises
Regal Cruises
Royal Caribbean International
Royal Olympic Cruises
Seabourn Cruises Line
Silversea Cruises
Windstar Cruises
# of Cabin: # of Nights / Duration:
Number of Guests: Country of Citizenship:
Children? (Age 0-12)
None 1 2 3 4 5 or More
Children? (Age 13-18)
None 1 2 3 4 5 or More
Type of Trip? Vacation Business
Cabin Preference:
Sun Deck
Verandah Deck
Lido Deck
Promenade Deck
America Deck
Empress Deck
Upper Deck
Main Deck
Riviera Deck
Outside Inside
Luxury Value Budget OTHERS
Non-Smoking Smoking
Double/Queen/King Bed Single/Twin Bed Upper/Lower Bed
Dining Arrangement:
Main (~6:00 pm) Late (~8:30 pm)
Small Table (2-4) Medium Table (6-8) Large Table (8-10)
I am Interested in an Air Package? From (Airport) ... 1st Choice
Airline Preference:
Aero California - JR AeroLineas de Mexico - AM Air Aruba - FQ Air Canada - AC Air Jamaica - JM Alaska Airlines - AS Allegro International - GR America West - HP American Airlines - AA BahamasAir - UP
British Airways - BA Carnival Airlines - KW Cayman Air - KX Continental Airlines - CO Delta Airlines - DL Hawaiian Airlines - HA Iberia Airlines of Spain - IB Kiwi International - KP Lacsa - LR Mexicana - MX
Midway Airlines - JI Northwest/KLM Airlines - NW Reno Air - QQ Trans World Airlines - TW US Airways - US United Airlines - UA Virgin Atlantic - VS Frequent Flyer #: Departure Date or approximate:
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Cardholder:
Card Number:
Expiration Date:
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2000 2001 2002 2003
Comments or Requests:
