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Christian Cruises &
CHRISTIAN SINGLES CRUISES (form-1)
(3-8 Day Cruises)
Request Information / Reservation Request
 
To contact the cruise company, please submit the following form.
 
All required fields must be completed for your request to be processed.
 
 
I am interested in the following cruise(s):
       CHRISTIAN SINGLES CRUISES:
 Christian Singles ALASKA Explorer Cruise: June 12 – 19, 2010
       Seattle, Washington; Juneau, Skagway, Tracy Arm Fjord, ALASKA; Victoria, British Columbia, Canada
       MESSIANIC CRUISE:
       Hearts for Israel Benefit Cruise to E Caribbean: March 20 – 27, 2010
       Fort Lauderdale, Florida; Grand Turk, Turks & Caicos; San Juan, Puerto Rico; St. Thomas, U.S.V.I.;
       Half Moon Cay, Bahamas
       MARRIED COUPLES CRUISE:
       iMarriage at Sea Cruise to ALASKA: June 12 - 19, 2010
       Seattle, Washington; Juneau, Skagway, Tracy Arm Fjord (scenic cruising), ALASKA; 
       Victoria, British Columbia, Canada
       OTHER:
 Would like to receive information about any upcoming Christian SINGLES cruises
 Would like to receive information about any upcoming ALASKA cruises
 Would like to receive information about any upcoming SENIORS cruises
 Would like to receive information about any upcoming MESSIANIC cruises
 Would like to receive information about any upcoming MARRIED COUPLES cruises
 Would like to receive information about any upcoming MOTHER & DAUGHTER cruises
 OTHER cruise:  
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: Traveling Companion #1
Last Name:
First Name: Traveling Companion #2
Last Name:
First Name: Traveling Companion #3
Last Name:
For group cruise event, enter Name of Church or Organization, City, State, Zip
(maximum 250 characters)

Receive Christian SINGLES events information
(such as retreats/conferences):		   Geographic area for receiving event information:
Local  Regional        National: USA    Canada
County:
Additional comments or questions:   (maximum 250 characters)

Please click on the Submit Form button to process your request.  Thank you.
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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/