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Bermuda and New England Cruise Share Request

Please put me on the roommate share list for PIED PIPER's Bermuda and New England 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?
Z - Inside double stateroom guaranty * $849
12 - Inside double stateroom $999
11 - Inside double stateroom $1,029
10 - Inside double stateroom $1,049
9 - Inside double stateroom $1,089
Y - Ocean-view double stateroom with window guaranty $1,399
8 - Ocean-view double stateroom with window $1,539
7 - Ocean-view double stateroom with window $1,569
6 - Ocean-view double stateroom with window $1,609
5 - Deluxe ocean-view double stateroom with window $1,689
4 - Deluxe ocean-view double stateroom with window $1,749
X - Deluxe ocean-view double stateroom with veranda guaranty $1,799
2c - Deluxe ocean-view double stateroom with veranda (partially obstructed) $1,999
2b - Deluxe ocean-view double stateroom with veranda $2,049
2a - Deluxe ocean-view double stateroom with veranda $2,099
FV - Family Oceanview stateroom with balcony $2,749
XC - Concierge Class guaranty $1,949
C3 - Concierge Class double stateroom with veranda $2,149
C2 - Concierge Class double stateroom with veranda $2,199
C1 - Concierge Class double stateroom with veranda $2,499
XA - Aqua Class stateroom with veranda guaranty $2,199
A2 - Aqua Class stateroom with veranda $2,399
A1 - Aqua Class stateroom with veranda $2,649
W - Suite with veranda guaranty $3,699
S2 - Sky Suite with floor-to-ceiling windows and veranda $3,999
S1 - Sky Suite with floor-to-ceiling windows and veranda $4,399
CS - Celebrity Suite with floor-to-ceiling windows $6,349
RS - Royal Suite with floor-to-ceiling windows and veranda $7,649
PS - Penthouse Suite $10,399
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