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Cruise Line:

Celebrity Cruises

Ship:

Mercury

Departure Port:

Vancouver, Canada

Dapearture Date:

July 11, 2010

Itinerary:

7 Night Alaska Hubbard Glacier Cruise (Vancouver Roundtrip)

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Contact Information

First Name
Last Name
Postal Code

Email Address
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How should we contact you?

Contact Number: ( ) (e.g. (XXX) XXXXXXX)

Cabin Request

Number of Cabins: Total number of passengers:

Cabin Type

Cabin 1:
I am willing to accept an obstructed view from the window or balcony?

Adults Children (1 to 17)

Pax Count: 0 (child ages)

Check all that apply: At least one passenger is over 55
At least one passenger is in the Military

Cabin 1 Additional Requests

Extras
Would you like to add a cruise tour to this Quote?
Cruise tour price will be added to your cabin preference listed above.
10-Night Whistler - Pre Tour - Pkg3CB on Celebrity Mercury (3CBMER - 4 Days)
10-Night Whistler - Post Tour - Pkg4CA on Celebrity Mercury (4CAMER - 4 Days)
13-Night Canadian Rockies - Pre Tour - Pkg1CB on Celebrity Mercury (1CBMER - 7 Days)
Do you want Celebrity's airfare included in your price quote?

Would you like Travel Insurance included in your Quote?

Have you booked a cruise before with Celebrity?

Would you like to include any additional nights?

Pre-nights Before the cruise Post-nights After the cruise

Comments
Any Additional Comments? If you have received a quote from another agency, please provide the agency's name and the price quoted, so that we may quote you the best price possible.

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Email Address		Re-enter Email Address
How should we contact you?
Contact Number: ( ) (e.g. (XXX) XXXXXXX)

	Cabin Type
Cabin 1:	I am willing to accept an obstructed view from the window or balcony?

	Adults	Children (1 to 17)
Pax Count: 0		(child ages)

Check all that apply:	At least one passenger is over 55 At least one passenger is in the Military

	Cabin 1 Additional Requests

	Cabin Type
Cabin 2:	I am willing to accept an obstructed view from the window or balcony?

	Adults	Children (1 to 17)
Pax Count: 0		(child ages)

Check all that apply:	At least one passenger is over 55 At least one passenger is in the Military

	Cabin 2 Additional Requests

	Cabin Type
Cabin 3:	I am willing to accept an obstructed view from the window or balcony?

	Adults	Children (1 to 17)
Pax Count: 0		(child ages)

Check all that apply:	At least one passenger is over 55 At least one passenger is in the Military

	Cabin 3 Additional Requests

	Cabin Type
Cabin 4:	I am willing to accept an obstructed view from the window or balcony?

	Adults	Children (1 to 17)
Pax Count: 0		(child ages)

Check all that apply:	At least one passenger is over 55 At least one passenger is in the Military

	Cabin 4 Additional Requests

	10-Night Whistler - Pre Tour - Pkg3CB on Celebrity Mercury (3CBMER - 4 Days)
	10-Night Whistler - Post Tour - Pkg4CA on Celebrity Mercury (4CAMER - 4 Days)
	13-Night Canadian Rockies - Pre Tour - Pkg1CB on Celebrity Mercury (1CBMER - 7 Days)