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Let us help you plan  your next cruise vacation!  We are committed to finding you the BEST cruise vacation at the LOWEST possible price based on your wishes. We need your help to do this.

Please fill out our form completely so we have all of the information that the cruise lines need to give you the best price.  Thank you!


 (All Fields with a * are Required)

PERSONAL INFORMATION

First Name *
Last Name *
Address *
City *
State *
Zip/Postal Code *
Email *
Home Phone *
Cell Phone
What is your preferred method to be contacted? *
Nearest Airport / Airport Code *
Have you ever used Kims Kruises before? *
What cruise line(s) have you previously been on?

 

CRUISE INFORMATION

Cruise Line *
Ship *
Date of Cruise? (mm/dd/yy) *
Number of Days *
Destination? *
Port of Departure?
How many people in your party? *
Number of cabins required *
Preferred location on ship *
Dining time preference *
Preferred table size *
Preferred table type *
Are you celebrating any occasion?
Any additional notes, comments about this cruise?

 

PASSENGER 1 INFORMATION

First & Last Name
Birthdate (mm/dd/yy)
Is this passenger under 18, 21 or over 55?
Past Passenger Number (Important to get lowest rate)
Type of cabin
Cabin Category (if known)
Cabin Number (if known)
Auto Upgrade Preference
Bed Preference
Is this passenger Police, Fire, EMT, Military, AARP?
Any additional notes, comments for this passenger

 

PASSENGER 2 INFORMATION

First & Last Name
Birthdate (mm/dd/yy)
Is this passenger under 18, 21 or over 55?
Past Passenger Number (Important to get lowest rate)
Type of cabin
Bed Preference
Is this passenger Police, Fire, EMT, Military, AARP?
Any additional notes, comments for this passenger

 

PASSENGER 3 INFORMATION

First & Last Name
Birthdate (mm/dd/yy)
Is this passenger under 18, 21 or over 55?
Past Passenger Number (Important to get lowest rate)
Type of cabin
Bed Preference
Is this passenger Police, Fire, EMT, Military, AARP?
Any additional notes, comments for this passenger

 

PASSENGER 4 INFORMATION

First & Last Name
Birthdate (mm/dd/yy)
Is this passenger under 18, 21 or over 55?
Past Passenger Number (Important to get lowest rate)
Type of cabin
Bed Preference
Is this passenger Police, Fire, EMT, Military, AARP?
Any additional notes, comments for this passenger

 

ADDITIONAL INFORMATION

Will you need transfers?
Do you want travel insurance? *
Will you need pre-cruise hotel? *
Will you need post cruise hotel? *
Any other comments or relevant information