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Repositioning cruise from New York to the Caribbean Share Request

Please put me on the roommate share list for PIED PIPER's Repositioning cruise from New York to the Caribbean 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 * $1,295
12 - Inside double stateroom $1,655
11 - Inside double stateroom $1,695
10 - Inside double stateroom $1,722
9 - Inside double stateroom $1,722
Y - Ocean-view double stateroom with window guaranty $1,589
8 - Ocean-view double stateroom with window $1,949
7 - Ocean-view double stateroom with window $2,002
6 - Ocean-view double stateroom with window $2,095
IO - Panoramic Oceanview stateroom $1,989
X - Deluxe ocean-view double stateroom with veranda guaranty $1,639
P2 - Deluxe Porthole view w/Veranda stateroom $1,999
P1 - Deluxe Porthole view w/Veranda stateroom $2,079
EX - Edge stateroom w/ Infinite Veranda guaranty $2,251
E5 - Edge stateroom w/ Infinite Veranda $2,612
E4 - Edge stateroom w/ Infinite Veranda $2,625
E3 - Edge stateroom w/ Infinite Veranda $2,679
E2 - Edge stateroom w/ Infinite Veranda $2,759
E1 - Edge stateroom w/ Infinite Veranda $2,865
XC - Concierge Class guaranty $2,759
C3 - Concierge Class double stateroom with veranda $3,119
C2 - Concierge Class double stateroom with veranda $3,319
C1 - Concierge Class double stateroom with veranda $3,519
XA - Aqua Class stateroom with veranda guaranty $3,572
A2 - Aqua Class stateroom with veranda $3,932
A1 - Aqua Class stateroom with veranda $4,185
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