Kim Laudenslager

Request for quote

First name___________________________	Last name________________________	email___________________________
Daytime Phone_______________________	Evening Phone_________________________	FAX________________________________
Address____________________________	City_________________________________	State_________ Zip___________

# passengers _____

# adults_____

# children ______

# cabins_______

cabin type __________________________

Passenger name(s)

1.________________________________________________
2.________________________________________________
3.________________________________________________
4.________________________________________________

5.________________________________________________
6.________________________________________________
7.________________________________________________
8.________________________________________________

Destination ________________

Cruise Line______________________________

Duration __________

Ship ______________________________

Departure preference--month _____________________ --year________________

Are you a repeat passenger on any cruise line? yes no

If yes, which line?__________________________________________

Is airfare needed? yes no

If yes, from what city? _________________________

Will you need transfers? yes no

How would you like to be contacted? telephone email mail
Please write additional comments or instructions on a separate sheet of paper.

Please Print and mail request form to:
Kim Laudenslager, 9162 Madre Place, Lone Tree, CO 80124
or Fax to: (303) 680-0985
Questions? Please call: (303) 680-0985