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Maiden Voyage to Western Europe Share Request

Please put me on the roommate share list for PIED PIPER's Maiden Voyage to Western Europe Cruise. Fields marked with* are Required.

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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 #*
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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:
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Which categories would you like to be listed for?
12 - Inside double stateroom $1,749
7 - Ocean-view double stateroom with window $2,449
IO - Panoramic Oceanview stateroom $2,569
1b - Deluxe ocean-view double stateroom with veranda $2,699
1a - Deluxe ocean-view double stateroom with veranda $2,799
SV - Sunset Veranda stateroom $2,919
ES - Edge Single stateroom w/ Infinite Veranda $3,307
E4 - Edge stateroom w/ Infinite Veranda $3,019
E3 - Edge stateroom w/ Infinite Veranda $3,049
E2 - Edge stateroom w/ Infinite Veranda $2,819
E1 - Edge stateroom w/ Infinite Veranda $3,089
C3 - Concierge Class double stateroom with veranda $2,799
C2 - Concierge Class double stateroom with veranda $3,199
C1 - Concierge Class double stateroom with veranda $3,299
A2 - Aqua Class stateroom with veranda $3,239
A1 - Aqua Class stateroom with veranda $3,749
S3 - Sky Suite with floor-to-ceiling windows and veranda $5,599
S2 - Sky Suite with floor-to-ceiling windows and veranda $5,799
S1 - Sky Suite with floor-to-ceiling windows and veranda $5,899
CS - Celebrity Suite with floor-to-ceiling windows $8,799
RS - Royal Suite with floor-to-ceiling windows and veranda $12,999
PS - Penthouse Suite $33,799
EV - Edge Villa $19,499
IC - Iconic Suite $41,799
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