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Post-Thanksgiving Cruise Share Request

Please put me on the roommate share list for PIED PIPER's Post-Thanksgiving Cruise. Fields marked with* are Required.

Email Address*

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Confirm Address*
First Name*
Last Name*
Gender * Male Female
Address*
Address 2
City*
State/Province* Choose 'N/A' for non-US/Canadian addresses
Zip/Postal Code*
Country*
Home Phone #*
Cell Phone #
Work Phone #
Can we leave a message?YesNo
Please tell us how you heard of us:*
(Which magazine/publication?, Which webpage?, From a friend/previous passenger? etc.
Do you currently have a favorite travel agent? (PIED PIPER pays commissions to certified travel agents for its gay group cruises!) No Yes
Travel Agent Name:
Travel Agent Email:
Travel Agent Tel:
Travel Agent Fax:
Travel Agent Address:
Which categories would you like to be listed for?
RL - Royal Loft Suite with balcony $13,651
A3 - Aquatheater Suite with balcony $4,833
L1 - Crown Loft Suite with balcony $3,813
OS - Owner's Suite with balcony $3,648
GS - Grand Suite (1 bedroom) $2,743
J3 - Junior Suite $1,968
J4 - Junior Suite $2,135
1N - Oceanview stateroom $838
1V - Inside cabin $707
2C - Oceanview Large Balcony stateroom $1,004
2D - Oceanview Balcony stateroom $948
4D - Oceanview Balcony stateroom $939
2I - Boardwalk View balcony cabin $830
2J - Central Park View balcony cabin $820
2S - Central Park View inside cabin $707
2T - Promenade view inside cabin $696
2N - Oceanview stateroom $824
4N - Oceanview stateroom $814
2V - Inside cabin $677
4V - Inside cabin $666
6V - Inside cabin $611
Would you like a smoker or non-smoker as a roommate?
Non-smoker Smoker
 
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Thank you for your interest in our cruises! We will call you as soon as we find a roommate for you to make sure you're still interested. Hope to see you onboard!
PLEASE NOTE THAT ALL PAYMENTS MADE FOR SHARE RESERVATIONS ARE NON-REFUNDABLE UNLESS A SHARE REPLACEMENT CAN BE FOUND