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Alaska Cruise Share Request

Please put me on the roommate share list for PIED PIPER's Alaska 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?
IN - The Insider $1,440
VW - The Sea View $2,205
TZ - Sea Terrace Lock it in Rate $2,221
TR - The Sea Terrace $2,308
TC - Central Sea Terrace $2,348
TX - XL Sea Terrace $2,790
SAP - Sweet Aft Suite - Pretty Big Terrace $6,255
SAB - Sweet Aft Suite - Biggest Terrace $6,345
SAE - Sweet Aft Suite - Even Bigger Terrace $6,300
SS - Seriously Suite $5,535
SCP - Cheeky Corner Suite - Pretty Big Terrace $6,750
SCB - Cheeky Corner Suite - Biggest Terrace $6,930
SB - Brilliant Suite $6,120
SG - Gorgeous Suite $9,450
SCE - Cheeky Corner Suite - Even Bigger Terrace $6,840
SF - Fab Suite $12,150
MZ - Mega RockStar Lock it in Rate $8,991
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