Travel West

“We GUARANTEE the best value on your vacation or your trip is FREE!”

PERSONAL MESSAGE FROM JIM WEST
“I wanted to let you know my personal feelings about launching this exciting travel program and why I think it is valuable to you. Read More...

Jim West

Cruises

* First Name:
 * Last Name:
* Phone:
 * Email Address:
Date of Birth:
//		 Are you a Senior Citizen?
Yes No
Are you a member of the military?
Yes No		 Are you interested in joining a Travel West.com group cruise? If yes, which?
Would you like to transfer a reservation you have already made with the cruise line to Travel West.com?
Yes No		 If Yes, which cruise line and confirmation number?
Do you want us to compare pricing you have received from another cruise line?
Yes No 		If so, have you emailed the confirmation from the cruise line to us?
Yes No

If you are interested in requesting specific cruise arrangements, please fill out this basic information form:
Where would you like to go?
 Departure Location:
Budget:
 Are your dates flexible?
Yes No
Departure Date:
 Return Date:
Cruise Line:
 If "other", which?
Do you have a preferred ship?:
Yes No		 If yes, which?
Cabin Preference:
 Dining Preference:
How Many Adults (12 & Over):
 How Many Children (Under 12):
How Many Infants (Under 2):
 Would you like an insurance quote?
Yes No
Comments:
Have you previously traveled with Travel West.com?
Yes No		 Were you referred by anyone? If yes, who?
All parties represented acknowledge that they have read and agree to all terms and conditions, including the guaranteed free trip option information.