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Maiden Voyage to the Eastern Caribbean Share Request

Please put me on the roommate share list for PIED PIPER's Maiden Voyage to the Eastern Caribbean 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
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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:
Travel Agent Email:
Travel Agent Tel:
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Which categories would you like to be listed for?
12 - Inside double stateroom $1,198
DI - Deluxe inside stateroom $1,198
O2 - Oceanview stateroom $1,420
O1 - Oceanview stateroom $1,420
DO - Deluxe Oceanview stateroom $1,470
PO - Panoramic Oceanview stateroom $1,470
P2 - Deluxe Porthole view w/Veranda stateroom $1,698
P1 - Deluxe Porthole view w/Veranda stateroom $1,698
ES - Edge Single stateroom w/ Infinite Veranda $1,676
E3 - Edge stateroom w/ Infinite Veranda $1,798
E2 - Edge stateroom w/ Infinite Veranda $1,798
E1 - Edge stateroom w/ Infinite Veranda $1,819
C3 - Concierge Class double stateroom with veranda $1,848
C2 - Concierge Class double stateroom with veranda $1,848
C1 - Concierge Class double stateroom with veranda $1,953
A2 - Aqua Class stateroom with veranda $2,711
A1 - Aqua Class stateroom with veranda $2,814
MS - Magic Carpet Sky Suite $4,348
S1 - Sky Suite with floor-to-ceiling windows and veranda $4,459
SS - Sunset Sky Suite $5,963
AS - Aqua Class Suite $5,505
CS - Celebrity Suite with floor-to-ceiling windows $7,100
IC - Iconic Suite $28,941
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