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PLEASE FILL OUT COMPLETELY Once I receive the filed form, I will contact you shortly. Thanks for inquiring. Have a magical day, *Michele*
Full Name *

First Name Last Name
E-mail *
example@example.com
Phone Number *
What is the best way for me to contact you after you fill out this form? *

Text Email Phone Call
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Number of Adults *
Number of Children Aged 0-18 *
Are all guests US Citizens?

YES NO
Do all guests have a US Passort?

YES NO
Please list traveling adult guests on reservation with birthdate. *
Please list children with their name, age & birthday (ex: Lola King 2 yrs 4/24/20) *
How many staterooms do you need? (if more than one room please provide how many adults & kids with ages in each room? *
If you are traveling with other families or friends please have them fill out this form as well. Please provide their names here so I know they are linked with you.
Are you celebrating any special occasions?

No Birthday Anniversary Graduation First visit of someone in your party Other
Have you ever Cruised before?

YES NO
If yes to above, when was your last cruise
When would you like to Cruise? Please provide departure month and year.
What is your approximate trip budget? *
PLEASE NOTE: I am unable to provide quotes with airfaire. This is your budget without airfare.
Preferred Cruise Line *

Disney Cruise Line Royal Caribbean Carnival Norwegian Celebrity Virgin Voyages (adult only) Other
How many nights would you like to cruise? *

2-4 nights 5-7 nights 8- 13 nights 14 + Not sure
Preferred Departure Port
Do you have a preferred destination? *
Ex: Caribbean, Mexico, ect
What is your stateroom preference?
What would describe your current situation? *

I am just shopping around I know I want to book but I have questions I have a deposit and ready to book ASAP
Where you referred to me by someone? ( please include their name) I love to thank people :) *
Any other information that will help me plan for you?
please be mindful as serious inquires are appreciated.

Please alow 24-48 hours for me to respond to you.

It is an honor to be able to help plan your next cruise for you and your family.

Michele xo
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