CHRISTIAN CRUISES & Christian Singles Cruises form (3-8 Day Cruises)
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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):
   
      SINGLE ADULT INSPIRATIONAL CRUISES:
 December 16 – 23, 2017:
       CHRISTIAN SINGLES 2017 Christmas CRUISE on RCCL Harmony of the Seas.
       Departure from Fort Lauderdale, Florida.
       Ports of call: (1) Charlotte Amalie, St. Thomas; (2) San Juan, Puerto Rico;
                             (3) Labadee, Haiti (Royal Caribbeans Private Island).
   
 Would like to receive information about OTHER upcoming Christian SINGLES cruises.   
 
        OTHER:
 Would like to receive information about upcoming Messianic/Jewish 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)
Your County:
Additional comments, questions, or prospective passengers:   (maximum 250 characters)
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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.
 
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