Your Name

Have you cruised before?

Yes No

If Yes, what cruise line (s)

Are you interested in cruise specials that

depart close to home?

Yes No

If so, from which departure ports?

Boston
Ft. Lauderdale
Los Angeles
Montreal

Miami
New York
Norfolk
Pt. Canaveral

New Orleans

Galveston

Houston

Jacksonville

Mobile
San Diego
San Francisco
Seattle
Tampa
Vancouver

For which special offers would you like to receive information, if available?
(check all that apply)

Special rates for kids
Holiday cruises
Theme cruises
Family & Friends

Do you have a preferred stateroom category?

-- Select One -- Inside Ocean View Balcony Mini Suite Suite

What cruise length do you prefer?

How many cruises have you taken?

-- Select One -- 0 1 2 3 4 5 6+

Do you have a specific cruise request?

Do you plan to use a travel agent to

book your next vacation?

Yes No

Your Address:

(Address Line 1)

(Address Line 2)

(City)

(State)

(ZIP Code)

Thanks for registering.