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CRUISE PACKAGES

Monday - Friday 9 a.m. - 7 p.m.
Saturday 10 a.m. - 3 p.m.
Pacific Standard Time
(949) 489-9133

DISCOUNT CRUISE QUOTE REQUEST FORM

If you have chosen a cruise from our database please complete the form below to request availability.
For a customized Discount Cruise quote, please complete the form below and you will receive the lowest DISCOUNT CRUISE rate within 48 hours. If you do not hear from us please call us.

Number and Ages of Passengers

Number of adults:
Number of children (2-11 years):
Number of infants (under 2 years):
Number of cabins required: (4-5 passengers maximum in one cabin)
Is anyone in your party aged 55 or older? (Important for Senior Discounts!)	Yes No
What is your age group?

Cruise line & Itinerary

Is this cruise selected from our Database?	Yes No
Preferred Cruise Line:
Preferred Ship, if any:
Destination:
Other destinations:
Number of Nights:
If more than 14 nights please indicate here:
Departure Date:
or Range of dates of cruise if flexible:
Cabin Type:
Dining Request:
Early seating dining	Late seating dining

Airfare Request

Air required:
Yes		No
Depart from:
or type in Departure City here:
Other cities you may be able to depart from:
Economy class	Business class		First class

Other Important Information

Special Occasion, if any:
If this is a Honeymoon please give date of wedding:
Trip Cancellation Insurance required:
Yes	No (Highly Recommended!)
Have you ever cruised before?:
Yes	No

Please list cruise lines that you have sailed on previously as you may be
eligible for a discount:

Additional Information

IMPORTANT! If any passenger is not a US Citizen or Resident please mention here
or if you have discount coupons you may have received from cruise lines or credit cards please let us know here

Pre & Post Cruise Request

If you have a specific pre- or post CRUISE request please give details here:

About You

Please select:
Last Name:
First Name:
Profession:
Address:
City & State:
Zip Code:
Country: if other than the U.S.
Daytime Telephone: Please include area code
Evening Telephone: Please include area code
Fax: Please include area code
E-Mail: Important! Please type carefully!

Important Message regarding E Mail Addresses!

Many of the forms we receive have an incorrect email address in which case we cannot respond therefore in order to receive a response please give below your complete email address including the text on the LEFT and RIGHT of the @ sign.

Your E-Mail address:

Your Suggestions

Please give any suggestions that may help improve this Service or Form.

Click on the Submit button to forward your request. You will receive a response within 48 hours.
If you do not hear from us please call us toll free at (888) 878-5874

All information is confidential and for the use of Vacation Promotions Int. only.