EmailMe Form - Savvy Girl Vacations Cruise Inquiry

Primary Traveler's Name (As shown in ID) *

First Last

At the time of completing this form, are you prepared to pay a deposit for your reservation? *

Primary Traveler Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Mobile Number *

E-mail Address *

VIFP / Previous Cruiser Number

Date of birth *

MM / DD / YYYY

Will you be traveling solo in your cabin? If No, please enter additional guest information below. *

Additional Guests Information *

Please include for each guests

Are you part of a group? If so what is the family or group leader's name (or booking number)? *

CRUISE SHIP DETAILS

Please Choose Cruise Line From The Drop Down Menu *

Ship Name
(N/A is unknown) *

Sail Date *

CABIN DETAILS

Deck for your Cabin *

Cabin Preference *

Interior

Ocean View

Balcony

Suite

Cabin Location on the Deck Chosen *

SPECIAL REQUEST

Please add any special request, such as food allergies, special meals (kosher, vegetarian, dairy free) handicap accessibility request, medical concerns, etc.

Additional information you would like us to know

PRIVACY STATEMENT

"I/We acknowledge that I/we will provide Savvy Girl Vacation LLC ('the Agent') from time to time with information about myself / ourselves of a personal nature (personal Information").

"I/We (Client) consent to 'the Agent' using any personal information supplied by me/us for the purposes of making and completing airline bookings and travel related arrangements on behalf of me /us".

Signature *

Clear

Today's Date *

MM / DD / YYYY