Cruise-X Request Form

The Program:

This is a Pre-Tour
or Post Tour

Sail time	:	AM PM
Debarkation time	:	AM PM

City

Start date

How many days

Is this your first trip to the destination?

Yes No

Are there any specials places you want to visit?

Yes No

If yes, list up to 3

1. 2. 3.

What interests you the most when in the destination?

Accomodation:

Hotel Star Rating

3 star 4 star 5 star

Type of rooms

Regular Superior Deluxe Demi-Suite Suite Apartment Villa

Hotel suggestions

What facilities do you need from your hotel?

Sightseeing:

What type of service do you prefer?

Shared Private

If Private

Do you need a private guide all the way?

Yes No

Is a Driver/Guide acceptable for day trips?

Yes No

Do you need a luxury car for transfers and itinerary?

Yes No

If yes, do you need an additional car for your luggage?

Yes No

What is your budget?

between and

Meals:

Should meals be included?

Yes No

If yes do you want them every day?

Yes No

If no, how many?

Breakfasts Lunches Dinners

Passenger Info:

Lead Passenger

Last Name First

# of Adults (Age 12 and up)

# of Children (Age 0-11)

Additional info:

Special inclusions and requests

Contact Information:

Name

Travel Agency

Work Phone

Ext.:

Cell phone

Email address

What happens next?
After you submit your quote request online, we will be in touch within 48 business hours, and a destination specialist will call you to discuss the details of your quote. Please note, a quote may take up to 3 days depending on the destination.