| Destination |
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| Length of cruise |
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| Number of travelers *required |
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| Number of staterooms (if more than one) |
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| Preferred Departure date |
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| Alternate date |
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| Type of stateroom preferred |
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| Cruise line preferred (if any) |
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| Ship preferred (if any) |
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| Alternate cruise line (if any) |
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| Air/Sea or Cruise-Only quote |
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If you want a quote with air included,
enter city of nearest major airport to you |
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| City of your residence (possible city or regional special discounts) * required |
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| State of your residence (possible regional special discounts) * required |
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| Is any traveler 54 years of age or older (possible senior discounts)? *required |
No Yes |
Cruise budget target amount (including
airfare if you requested it above) |
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| If you have a quote to match, please provide the amount. |
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| Your e-mail address *required |
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| Your Name *required |
First |
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Last |
| Age range of passengers with whom you like to cruise. |
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| Telephone number (for questions we may need answered to complete your quote). *required |
Area Code
Number |
| How do you want to receive your quote? |
Call me. Email my quote. |
| Cruise insurance is recommended. Do you want a quote? |
No Yes |
| If a quote for insurance is desired, please list the ages of the travelers. |
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| Other information you want us to know to ensure we provide you a quote on a cruise that is "just right for you." |
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| Please help us track our advertising, by selecting the sources from which you learned about Smooth Sailing Cruises: |
Banner
Billboard - physical
Brochure
Chamber of Commerce
eBay
Email
Link from another site
Magazine
Networking event
Newspaper
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On-line list
Radio
Referred by a friend/co-worker
Search engine
Snail mail
TV
Yellow Pages
Yellow Pages on-line
Other
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Thank you for participating in the survey. No personal infromation is being gathered beyond your response. If you care to share more details than those supplied above, your assistance would be appreciated: |
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| Please click on "SUBMIT" only once. |
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