Cruise Request Form

                                                                                       
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Steve@UniqueTravelWorldWide.com       www.UniqueTravelWorldWide.com

Cruise Information Form
Cruise Destinations:

Alaskan ___ Caribbean ___ Mediterranean ___ Hawaiian ___Mexico ___ Panama Canal ___ West Coast USA ___  East Coast USA ___ Central America / Gulf ___ Pacific___

Rivers of Europe ___ Other World Destinations ___

Ship categories: Family ___ Couples ___ Adventure ___ Leisure ___ relaxing ___
Scenery ___ Age groups ___

If available under 40___ 40-50 ___ 50-60 ___ 60+ ___    Your Own Group  y ___ n ___  Group Name ______________________________

Length of Cruise:  Days 4-7___ 8-10 ___ 11-13 ___ 14-16 ___
17-19 ___ 20-22 ___ MORE ___

Cruise Ships: Princess ___ Crystal ___ Carnival ___ Avalon Waterways ___ Costa ___
Disney ___ Holland ___  Newest ___ Largest ___  Small ___ River ___   Other ______________________________________

Year of cruise: _________                                     

Month:

Jan ___ Feb ___ March ___ April ___ May ___ June ___ July ___ Aug ___ Sept ___ Oct ___ Nov___Dec___                                                                                                                                   

Port of Call/Land Excursion /Tour ___ On your own sight seeing  ___

We recommend Travel Insurance y ___ n ___
Need a Pass Port(s) y ___ n ___    Budget y____  n____
MAXIMUM $______________

Need Air Fare  y ___ n ___    Transportation to dock  y ___ n ___    From dock  y ___ n ___

Need mobility equipment  y ___ n ___

Honeymoon wishes ___    Anniversary wishes / Gifts ___   Other request___
Describe____________________________________________

“Let YOUR Journey Begin HERE””

 

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