Cruise Information Form

CRUISE INFORMATION FORM
RETURN TO VISTAS HERMOSAS
Full Name*

PrefixFirst NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Birthdate-many cruise lines offer discounts based on age
Phone Number*

Country CodeArea CodePhone Number
E-mail*
Confirm e-mail address
example@example.com
What cruise line would you like to sail on?
If other cruise line, comment here.
Where would you like to cruise to?
What are your sail dates?*
Are your dates flexible? If yes, enter dates.*
What port would you like to sail from?*
Do you need more than one cabin?*
List # of adults and # of children (and ages) for cabin 1.*
List # of adults and # of children (and ages) for cabin 2.
Prefered Stateroom Category.*
Interested in any of these packages: (choose as many as you'd like)

Specialty diningWiFi packageBeverage PackageTravel InsuranceOther
Your Travel Party
Number of Adults*
Number of Children (0-17) and ages
Is anyone in the group:

Law EnforcementFire fighter/EMTMilitary
Dining Preference
Are all of your passports up to date? Must be valid for at least 6 months after your return from vacation date.

YesNo, but plan on getting them soon
Is there anything else you wish me to know to make this the cruise of a lifetime?
What's important to your group - Interests? Nightlife? Water activities?
Should be Empty:

CRUISE INFORMATION FORM