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Salty Dog Cruise and Travel
Cruise and Information Request Form
Toll-Free 877-258-9364
Email us at: Quotes@CruiseSaltyDog.com

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Thank you for visiting Salty Dog Cruise and Travel. We represent all major cruise lines and offer volume discount prices to individuals that are less than most group rates. Please fill out this form to help our Cruise Consultants process your request. When the form is completed press the submit button one time for Cruise Information and Price, and we will respond as soon as possible.

If you will please include a phone number, we can contact you sooner to provide you with cruise information, or ask for additional information if necessary concerning your cruise plans. We do respect your wishes and will only call at the times and numbers that you want us to use. We also need a valid email address if you want us to respond electronically.
All information provided in this form will be kept private by Salty Dog Cruise and Travel.


Note: All fields colored RED are required!!
If you need more room, enter 2 Names per line. Name/Name: Also list childrens ages for possible lower pricing for them:
Passenger One Name    
Passenger Two Name   
Passenger Three Name 
Passenger Four Name   
Passenger Five Name 
Address information:
Address 
City 
State         Zip 
Contact Information. We must have a Phone Number and a Valid Email Address to be able to Provide Cruise Quotes and Information:
Home Phone
Work Phone
Fax Number
Email Address 
Number of Cruisers in your Group:
# of  Adult Cruisers 
# of Children Cruisers 
Dining and Cabin Options:
Dining Time/Table Size 
Type of Cabin 
# of Cabins Required 
Cruise Line and Cruise Options:
Cruise Line  
Destination
# of Days 
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If you have a certain Cruise you are looking for let us know:
Cruise Line Preferred
Name of Ship
Cruise Destination and Dates
Air Line Reservation Information:
IF YOU REQUIRE AIR TRANSPORTATION SELECT YOUR CLOSEST AIR CITY LISTED BELOW
Closest Airport to Your Home or Departure City
First Cruise Date Choice:
Month:
Date: 
Year: 
In Case your First Choice is not Available Backup Vacation Date Choice:
Month:
Date: 
Year: 
Is this cruise a special celebration?
Special Occasion? Yes No
What Occasion? 
Occasion Date  
Information about You & Your Group:
General Age Group for Dining Assignments
Any Smokers in Group? 
Yes No
US Citizens?  Yes No
Cancellation Insurance? Yes No   Recommended by Salty Dog
If Yes to These Two Questions, List Cruise Lines and Cruise Club Membership Numbers in the Information Box Below:
Have You Cruised Before?Yes No
Cruise Line Club Member? Yes No
Please use this box
to enter any additional
Information that would
help us locate the
perfect cruise for  
you, or make us aware
of any special needs
that you or one of your
group might have.


         
© Copyright 2008 Salty Dog Cruise and Travel. Many of the photos and descriptions are courtesy of Cruise Lines.