Name: We have to start somewhere # of Adults: Please Select 1 2 3 4+ other E-Mail Address: # of Children: Please Select None 1 2 3 4+ other Phone#: Don't be shy Type of Stateroom: Please Select Owner's Suite Royal Suite Deluxe Suite Demi Suite Mini Suite Outside/Veranda Outside (Superior) Outside (Minimum) Inside (Superior) Inside (Minimum) Guarantee (Inside) Guarantee (Outside) Physically Handicapped Other State of   Residence: Please Select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Island Virginia Washington West Virginia Wisconsin Wyoming # of Staterooms: Please Select 1 2 3 4+ Group Country: if not US United States Canada Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua/ Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia Botswana Bouvet Island Brazil British Indian Ocean Territory British West Indies Brunei Darussalam Bulgaria Burkina Faso Burma Burundi Cambodia Cameroon Cape Verde Cayman Islands Central Africa Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Cote D'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador England Equatorial Guinea Eritrea Estonia Ethiopia Europe Common Market Faeroe Islands Falkland Islands Fiji Finland France French Polynesia French Southern Territories Gabon Gambia Gaza Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guiana Guinea Guinea-Bissau Guyana Haiti Heard And Mcdonald Islands Held Territories Honduras Hong Kong Hungary Iceland India Indian Ocean Islands Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Ireland Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda San Marino Sao Tome And Principe Saudi Arabia Scotland Senegal Seychelles Sierra Leone Singapore Slovak Republic Slovenia Solomon Islands Somalia South Africa South Georgia Spain Sri Lanka St. Helena St. Kitts and Nevis St. Lucia St. Pierre St.Vincent And Grendadines Sudan Suriname Svalbard And Jan Mayen Islands Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad And Tobago Tunisia Turkey Turkmenistan Turks And Caicos Islands Tuvalu U.S. Minor Outlying Islands Uganda Ukraine United Arab Emirates United Kingdom Uruguay Uzbekistan Vanuatu Vatican City State Venezuela Viet Nam Virgin Islands (British) Virgin Islands (U.S.) Wales Wallis And Futuna Islands Western Sahara Western Samoa Yemen Yugoslavia Zaire Zambia Zimbabwe Length of Cruise: Please Select 5 - 7 nights 7 - 10 nights 10 - 14 nights 14 - 21 nights 21 nights or longer Cruise Line Requested: Please Select a Cruise Line Celebrity Cruises Cruise West Crystal Cruises Cunard Line Ltd. Holland America Line Oceania Cruises Regent Seven Seas Cruises RCCL Seabourn Cruise Line Sea Cloud Cruises SeaDream Yacht Club Silversea Cruises Viking River Cruises Windstar Cruises Other - not mentioned above Air or Hotels required? Please Select Yes No Maybe Destination Desired: Please Select Your Destination Alaska - Anywhere Alaska - Gulf of Alaska Alaska - Inside Passage Bahamas Bermuda Canada/New England/NY Caribbean - Anywhere Caribbean - Eastern Caribbean - Southern Caribbean - Western Europe - Anywhere Europe - River Cruise Europe - E. Mediterranean Europe - Mediterranean - Anywhere Europe - Northern Europe - W. Mediterranean Europe - Western Exotic - Asia/Africa/Other Hawaii Mexico Panama Canal/C. America South America South Pacific - Anywhere South Pacific - Australia South Pacific - Tahiti Transatlantic World Cruise I have another destination in mind Price Range: per person Price Range Desired $ 1,000 - $ 2,500 $ 2,500 - $ 5,000 $ 5,000 - $ 7,500 $ 7,500 - $10,000 $10,000 - $15,000 Over $15,000 World Cruise Pricing Sail Date Desired: Select a Month January February March April May June July August September October November December      Year 2007 2008 2009 2010 2011 Comments:     Are you a past passenger? Please Select Yes No Which Cruise Line? Please Select One Celebrity Crystal Cunard Holland America Regent RCCL Seabourn Sea Cloud SeaDream Silversea Windstar Other   If you have any problems or questions, please call us at 1.800.527.8980.  Thank you.

New friends we met in Japan