"Cruise Form"

Thank you for visiting PAK-N-GO Cruises and Tours on line. In order for us to serve you better, we are requesting the following information. This information will help us to offer you a more accurate quotation.

IMPORTANT -- Please Note: The information you provide will be held in complete confidence. We respect your right to privacy and will not sell or use your personal information in any misleading way. We reserve the right not to respond to requests that are incomplete, misleading or intend to deceive. We take seriously the information you provide and have access to reverse telephone listings... "So we know if you have been naughty or nice." We also take very seriously the budget information you provide. While we all want a cruise vacation for practically nothing -- Please be realistic.

PAK-N-GO Cruises and tours is a hometown, service oriented, experienced, travel agency with a presence on the internet. We are not an impersonal, aggressive internet only travel agency. We are here to provide the best cruise value and vacation experience for our clients.

An asterisk (*) indicates a required field. Failure to complete these fields may result in no response from PAK-N-GO Cruises and Tours:

*1. Your "Complete" Full Name(As it appears on your passport):

*2. Primary Home Phone Number (No Cell or Wireless): Business Phone Number:

*3. Home Street Address (No P.O. Boxes):
*City: *State: *Zip Code:

*4. Your Age (Additional discounts may apply.):

*5. Your Email Address (must be from your initial/main service provider account.) aliases originating from free email services may not be honored:

*6. If this cruise involves two or more families, will you be responsible for making the purchasing decision?:

*7. If you answered no to number 6, please provide this person's name, address and phone number:

*8. Full Name(s)as they appear on their passport and age(s) of people in your traveling party (Additional discounts may apply to children or seniors, so answering this area completely will be in your best interest.):

9. Per person approximate amount budgeted for this vacation:

10. Number of cabins required:

*11. If you need more than 2 cabins, please list who will be in what cabin. Please also note if they are an alumni of the cruise line you have requested.(For Example: Cabin 1 Oceanview with Balcony - Bob Smith, Joan Smith & Bob Smith, Jr.; Cabin 2 Inside - Robert Smith & Ellen Smith; Cabin 3 Oceanview - Robert Smith, Sr., Helen Smith, Jack Smith & John Smith; etc.)

12. How many times have you taken a cruise vacation?:

13. I/We are alumni of the following cruise lines. (Membership, ID#s, or other past sailing proof may be required):
American Canadian Caribbean Cruise Line
American Cruise Line
American West Steamboat Company
American Safari Cruises
Azamara Club Cruises
Captain Cook Cruises
Carnival Cruise Line
Celebrity Cruises
Celebrity Cruises Captain's Club (Must have signed up for enrollment.)
Costa Cruises
Cruise West
Crystal Cruises
Disney Cruise Line
First European Cruises
Great Lakes Cruise Company
Holland America Line
Lindblad Expeditions
MSC Italian Cruises
Norwegian Cruise Line
Oceania Cruises
Orient Line
Peter Deilmann Cruises
Princess Cruises
Radisson Seven Seas Cruises
Regal Cruises
RiverBarge Excursions
Royal Caribbean Int. Gold Member (1-4 Cruises)
Royal Caribbean Int. Platinum Member (5-9 Cruises)
Royal Caribbean Int. Diamond Member (10+ Cruises)
Royal Olympic Cruises
SeaDream Yacht Club
Star Clippers Cruises
Viking River Cruises
Windjammer Barefoot Cruises
Windstar Cruises
World Explorer Cruises

14. If you already know the cruise line, ship and date of departure please enter it here:

*15. If you left question number 14 blank -- What is your planned cruise departure date or approximate date? Please keep this within a two week time frame.:

16. Select your intended cruise itinerary from the drop down list. If your intended itinerary is not listed type your destination in the "Other" box:

*17. Will you be needing airline transportation?:
Yes No
If you answered "yes" what is your preferred city(s)of departure:

*18. If your requested cruise is for one of the following regions: Bahamas, Bermuda, Canada/New England, Caribbean, Central America, Hawaii, Mexico, Panama Canal, or South America - What is your preferred port of Departure? (Select only two maximum):
Acapulco, Mexico
Baltimore, Maryland
Barbados, West Indies
Boston, Massachusetts
Buenos Aires, Argentina
Charleston, South Carolina
Ft. Lauderdale, Florida
Galveston, Texas
Honolulu, Oahu, Hawaii
Houston, Texas
Jacksonville, Florida
Los Angeles, California
Manaus, Brazil
Miami, Florida
Mobile, Alabama
Montreal, Quebec, Canada
New Orleans, Louisiana
New York City, New York
Norfolk, Virginia
Philadelphia, Pennsylvania
Port Canaveral, Florida
Puerto Vallarta, Mexico
Rio De Janeiro, Brazil
San Diego, California
San Francisco, California
San Juan, Puerto Rico
Seattle, Washington
Tampa, Florida
Valparaiso, Chile
Vancouver, British Columbia, Canada

19. Desired length of your vacation?:

20. If you have a preferred ship or cruise line please list it here?:

21. Which cabin category are you most interested in? (Please note that we no longer provide quotes on interior cabins for cruises shorter than 10 days. On 3, 4-day Disney Cruises, only veranda or better accommodations must be purchased. Veranda or better accommodations must be purchased on most 7-day Sailings onboard Celebrity, Royal Caribbean, Costa, Holland America, MSC, NCL as well as other popular large ship cruise lines.) I wish to puchase the following stateroom accomodations:

I wish are beds to be arranged in the following configuration: Or type in other cabin type or cabin features you require (i.e. specific category letter or number, must have a veranda, mini-bar, VCR, internet access, etc.):

22. Preferred dinner seating (Keep in mind that many ships offer alternative dining. Open seating is not available on all lines):

23. What size table would you prefer?:

24. Will you be celebrating a special occasion?:

25. Please list any organizations that may entitle you to an additional discount (i.e. AARP, etc.):

26. Do you have a credit card offer or coupon that may entitle you to an additional discount? (i.e. Entertainment Book, etc.) Please include details of offer:

27. When is the best time to contact you and the preferred method of contact? (i.e. Phone, email, fax, etc.):

28. Here you can list any other additional information that PAK-N-GO Cruises and Tours should be made aware of such as, health issues, special request, etc.:

29. Would you be interested in receiving future cruise or vacation specials via email?:
Yes No