Cruise Reservation Information Form

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If You Can Dream It Travel Agent: Diane Schroeder

Email *

Lead Guest's First and Last Name *

Lead Guest's phone number *

Cruise departure date if you know

YYYY

Cruise return date if you know

YYYY

Number of Cabins Needed *

Other:

Number of adults and kids in Cabin 1, with ages of kids. Please be aware that the minimum passenger age on Viking is 18. *

Number of adults and kids in Cabin 2 with ages of kids

Which cruise would you like to sail on? Ship name if you have already selected which cruise you want. If you don't have a preference, that is OK.

Pricing preference:

Budget less than $2500

Budget $2500-$5000

Budget $5000-$7500

Budget over $7500

Don't really have a budget

Clear selection

Preferred Dining Time:

Early Seating

Late Seating

No preference

Clear selection

Preferred cabin locations if any, can select more than one:

Front

Midship

Back

Does not matter

Clear selection

Receive emails from Diane for sales and travel news *

Yes

First and last names of all ADULTS over 18 on the reservation. Birthdates will be required for booking.

Names and AGES of all children under 18. Birthdates will be required for booking.

If your cruise leaves from Florida or California, do you want to add a Disney or Universal Resort stay and/or Theme Park days along with your cruise?

Yes, before cruise

Yes, after cruise

No thank you

Maybe

Other:

Clear selection

If you have sailed with this cruise line before, we can add your loyalty numbers for each person.

Is there any other information you would like for me to know right now?

Submit

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