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Personal Information:
Please be sure to fill out this form completely, print it out, sign it at the bottom and fax it to us at 678-341-7162.
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Group Leader Name:

Email Address: (username@domain.com)

Your Day Phone Number with area code:

Your Home Phone Number with area code:

Mailing Address (U.S./Canada residents):
City:
State:
Zip:
Mailing Address (International):


Group Information:
Type of group:

What name would you like to call this group?

How many people will you be promoting to?

Has the group traveled together on a cruise in the past?

If yes, how many people traveled with the group?

What destinations did you visit?

What type of accomodations did you reserve?

Itinerary:

How many nights would you like to sail?

Which cruise line do you prefer?

Other Cruise Line:

Have you sailed with this cruise line before?

Which ship would you like to sail on?

Please choose a Departure Date:

Alternate Departure Date:

Do you need air transportation?

If Yes, from which major city?

How many cabins will you need? (Minimum of 8 total)
Double Occupancy Cabins (2 to a cabin)
Triple Occupancy Cabins (3 to a cabin)
Quad Occupancy Cabins (4 to a cabin)
What type of cabins would you like?
Inside Cabin
Ocean View Cabin
Ocean View Cabin with Balcony
Suites
Penthouse
What is your dining preference?

If you would like to give us any additional information, or
if you have any special needs, please tell us here:



Payment Information:
Don't forget to print this form, sign it at the bottom and fax it to us at 678-341-7162.

Credit Card Number: ___________________________________________

Expiration Date: ______________________________________________

Type of Credit Card: ___________________________________________

Your Signature Here: __________________________________________






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