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* First Name:   * Last Name:  

* Email Address:

* Phone number :      * = Required Fields
 

Have you cruised before?  Yes No

Frequency: infrequently once 1 per year 2 to 3 per year     Duration:  10 days or less Over 10 days      Budget: Up to $3500 $3500 - $8000 $8000 up

Are you over 55 (may be eligible for special rates)  Yes No

Are you part of a group that qualify for group rates?  No Yes Group Size?

What Cruise Lines do you prefer? (Check all that apply)

Norwegian	Silver Seas
Royal Caribbean	Celebrity
Princess	Carnival
Holland America	Seabourn
Crystal	Cunard
Disney	River Cruise
	Viking River Cruise

What are the most important features when booking a cruise? (Select all that apply):

Price cruise line ship size ports onboard activities

When do you plan to cruise?

Destination:  Africa Alaska Arctic Asia & Pacific Australia- New Zealand Bahamas Bermuda Hawaii Canada Caribbean China Europe Mexico Mediterranean Panama Canal South America USA Other - in comments    Interests: Large Cruise Lines Small Ships Art Cruise Wine Cruise Family Vacation Escorted Tours Other - in comments

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