CHRISTIAN CRUISES & Christian Singles Cruises form (3-8 Day Cruises)

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CHRISTIAN SINGLES CRUISES
[3-8 Day Cruise(s)]
Request Information / Reservation Request

To contact the cruise coordinator, please select a specific cruise below () and submit the following form.

All required information must be completed for your request to be processed.

I am interested in the following cruise(s):

SINGLE ADULT INSPIRATIONAL CRUISES:

December 16 – 23, 2017:
       CHRISTIAN SINGLES 2017 Christmas CRUISE on RCCL Harmony of the Seas.
       Departure from Fort Lauderdale, Florida.
       Ports of call: (1) Charlotte Amalie, St. Thomas; (2) San Juan, Puerto Rico;
                             (3) Labadee, Haiti (Royal Caribbeans Private Island).

Would like to receive information about OTHER upcoming Christian SINGLES cruises.

OTHER:

Would like to receive information about upcoming Messianic/Jewish cruises.

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Contact Information - Please include your mailing address:

*PLEASE NOTE: Fields with * are required.

* Email Address:

(A valid email address is required .)

* Name:

* Last Name:

* First Name:

Prospective cruise passenger
(only if different from the name entered above,
else leave blank):

Last Name:

First Name:

Street or P.O. Box:

Line 2:

(optional)

*City:

* State / Possession / Province:

* Zip Code / Postal Code:

Country:

Telephone:

* Age Group:

18-25 26-35 36-45 46-55 56-65 65+

*Male / Female:

Male Female

Are you traveling solo and require a roommate?

Yes No

First Name:

#1: Traveling Companion or Prospective Passenger

Last Name:

First Name:

#2: Traveling Companion or Prospective Passenger

Last Name:

First Name:

#3: Traveling Companion or Prospective Passenger

Last Name:

First Name:

#4: Traveling Companion or Prospective Passenger

Last Name:

For group cruise event, enter Name of Church or Organization, City, State, Zip
(maximum 250 characters)

Distance you are willing to travel to a single adult event: (Local / Regional / National / International) ?
Regional event --> Commute up to about 300 miles by car such as a retreat or conference event.
National USA / National Canada event --> Geographic location may require air travel.
International event --> Geographic location most likely requires air travel.

Geographic area for receiving single adult event information (such as single adult retreats/conferences):
Check/uncheck all that apply: LocalRegional National: USACanada International
Local and Regional are checked by default. Check or uncheck as applicable.

Your County:

Additional comments, questions, or prospective passengers: (maximum 250 characters)

*Enter the security code displayed in the image below:
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Please click on the Submit Form button to process your request. Thank you.

(Email accounts such as AOL may need to adjust spam/bulk mail settings and/or may need to check spam/bulk mail folder.)

If unable to successfully submit form, then email njsinglechristian@yahoo.com with your name and contact information.

PLEASE advise others about the RJD discount on selected cruises by referring them to
http://www.rjdwebdesign.com/cruises/

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