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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):
       CHRISTIAN SINGLES CRUISES:
 Christian Singles Christmas Caribbean Cruise on RCCL Liberty of the Seas: December 10 – 15, 2011
       Ft. Lauderdale, Florida; Belize City, Belize; Cozumel, Mexico
   
        OTHER:
 Would like to receive information about OTHER upcoming Christian SINGLES cruises
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)

Receive Christian SINGLES events information
(such as retreats/conferences)
:
  Geographic area for receiving event information:
Local  Regional        National: USA    Canada
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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/