CMC NEW RESERVATION REQUEST

DO YOU KNOW THE EXACT SHIP AND SAILING DATE YOU WOULD LIKE TO BOOK? *

YES

NOTE:

Since you do not know the exact

cruise line, ship name, and sail date

that you would like,

please STOP and click

HERE

HOW DID YOU HEAR ABOUT CRUISE MOM CRUISES ? *

I have booked with them before.

I saw an ad on facebook.

I received a business card from an agent.

I picked up a brochure with your company information.

I saw your ad on the Dunedin Tiki Bus

Other (Please Describe) > Other (Please Describe) >

Once submitted, a Cruise Mom Cruises agent will create a temporary reservation based as closely as possible to your requests and send it to you by email for your review.

Please make sure your contact information is correct so we may contact you if we have any questions about your request.

If you approve of the reservation sent to you, please contact your booking agent to arrange payment.

If changes are required, please contact your booking agent to make any corrections necessary BEFORE submitting any payments to the agent.

ABOUT THE SAILING YOU WANT....

AGENT AUTHORIZATION. PLEASE SELECT ONE OF THE OPTIONS BELOW. *

I AGREE TO HAVE MY RESERVATION HANDLED BY ANY ASSOCIATE OF CRUISE MOM CRUISES

I HAVE A PREFERRED CRUISE MOM CRUISES AGENT.

PLEASE ENTER AGENT NAME HERE *

CRUISE LINE: *

CRUISE SHIP NAME: *

SAILDATE REQUESTED: * +

IS THIS A PART OF A GROUP SAILING? iF SO, ENTER GROUP NAME OR GROUP #

MANY TIMES THERE ARE MULTIPLE RATE CHOICES TO CHOOSE FROM FOR ANY CRUISE. PLEASE SELECT ONE OF THE FOLLOWING CHOICES BASED ON YOUR PERSONAL FINANCIAL SITUATION. *

I MUST HAVE A RATE THAT ALLOWS FOR A FULLY REFUNDABLE DEPOSIT PRIOR TO FINAL PAYMENT DATE AND UNDERSTAND THIS MAY NOT BE THE LOWEST RATE AVAILABLE

I PREFER TO HAVE THE LOWEST AVAILABLE RATE EVEN THOUGH THE DEPOSIT MAY NOT BE REFUNDABLE

I PREFER TO HAVE THE BEST OVERALL RATE WHICH MAY NOT BE REFUNDABLE, MAY NOT HAVE THE LOWEST DEPOSIT, BUT MAY INCLUDE VALUED AMENTITIES SUCH AS ONBOARD CREDIT FOR A SLIGHTLY HIGHER PRICE.

I PREFER TO HAVE THE RATE WITH THE LOWEST DEPOSIT OPTION AND UNDERSTAND THAT THIS DEPOSIT MAY BE NON REFUNDABLE

DOES ANYONE IN THIS ROOM REQUIRE A HANDICAP ACCESSIBLE STATEROOM? *

YES

PLEASE ENTER THE NAME OF THE GUEST WHO REQUIRES THIS AND AS MUCH DETAIL AS POSSIBLE ABOUT THE REASON FOR THE NEED. i.e. MOBILITY LEVELS, BRINGING SCOOTER, WHEELCHAIR USE, WHEELCHAIR CONFINED-MUST HAVE WIDER DOOR, ETC: *

PLEASE VERIFY ALL INFORMATION ABOVE IS CORRECT THEN CHECK BOX BEFORE CONTINUING. *

ENTRIES VERIFIED