My Cruise/Dive Preferences

1. The Exact Names of All Members in My Party (Travel Ids)—Please include Ages of Children:

2a. My Phone #:
2b. My Fax #:

3. My (Our) City of Departure:

4a. My (Our) Home Address:
4b. My (Our) Home City:
4c. My (Our) Home State (or Country):
4d. My (Our) Zip:

5a. My (Our) Departure Date—1^st Choice:
5b. My (Our) Departure Date—2^nd Choice:
5c. My (Our) Departure Date—3^rd Choice:

6a. I (We) Prefer Stateroom w/ Veranda:
6b. I (We) Prefer Stateroom Outside:
6c. I (We) Prefer Stateroom Inside:

7. How Many Days Cruise:

8. My (Our) Upcoming Cruise Interest—(Caribbean? * South Pacific? * World? * Australia?
* New Zealand? * Hawaii? * Atlantic? * Asia * Other?):
9a. Best Cruise I (We) Ever Had Was On (Ship):
9b. It Was Outstanding Because:

10a. My (Our) Scuba Certifications with Org. (PADI, NAUI, SSI, etc.):
10b. Respective Dates:

11. How Many Divers:
12. How Many Non–Divers:
13. Some of Us Snorkel (Y/N):
14. Some of Us Wish to Become Certified (Y/N):

15a. I Dived (How Many Dives?) During Last 12 Months:
15b. My Last Dive Was At:
15c. On (Month/Year):

16. I Bring Along the Following Personal Equipment:

17. We Seek the Following Dive Adventures:

18. Here's Some More Information to Help Me (Us) to Have an Outstanding Cruise/Dive Experience: