December 21st 2009
Are You In your office or at home and feeling stressed out? Follow these simple directions.
Get up, Go Directly to the Fax machine and Fax our office the following form filled in to put a hold on the current price of a cruise vacation. Cruise Planners Fax Number is 732-972-1249
A cabin will be held for you on the ship of your choosing. You will need to include the following in your fax.
Name: ________________________________________________________
Address: ______________________________________________________
City: ___________________State: ______________ Zip: ___________
Daytime #: ________________ Evening #: _____________________
Cell #: ____________________ Emergency #: __________________
E-mail: ____________________________________________
Are all passengers US Citizens? Yes/No (Circle One)
Have you ever cruised/resort stayed before? Yes/No (Circle One)
On what Cruise Line or What Island have you traveled with/to _____________________________________________________________
Vacation Date(s) Requested? ______________________________
Is Airfare needed? Yes/No (Circle One) Airport(s)? ________________________
Is Travel Insurance being requested? Yes/No (Circle One)
Cabin Type: (Circle One)
Inside Ocean View Balcony Suite Garden View
Front Back Midship Guarantee
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Cabin 1
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Cabin 2
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Cabin 3
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Cabin 4
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Number of Adults:
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Seniors (55 +):
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Number of Children:
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Passengers Ages:
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Special Dining Request? 5:45-6:30/ 8-8:30/ Open Seating (Circle One)
Special Cabin Request? Near Elevator / Away from Elevator / Handicap
Medical Requests? _________________________________________________
If you want to put a hold on a cabin you must include all passengers names and birthdates here:
Name 1: ______________________ Birth date: __________
Name 2: ______________________ Birth date: __________
Name 3: ______________________ Birth date: __________
Name 4: ______________________ Birth date: __________
Ready To Book: We need your credit card information
Name on Card: _________________________________
Credit Card Type ________________________________
Credit Card Number ______________________________
Credit Card Expiration Date: _______________________
Credit Card Security Code : _______________________
I Give My Permission for Cruise Planners to Charge the above credit card for the vacation stated above.
X _________________________________________________________