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Your Cruise Includes:

* 24/7 Dining
* Broadway Style Entertainment
* Supervised Kids Program
* Room Service
* On Board Activities
* Night Life on Board
* Access to Exclusive Features!

Register for The Perform for a Cause Cruise

5 Night Canada / New England Cruise
August 27 - September 1, 2011

Please fill out the form below to request your reservation.

We will contact you within 24 business hours to confirm your reservation and collect the applicable deposit.

PLEASE NOTE: PRICING IS BASED ON AVAILABILITY.
Upon requesting a reservation, you will be contacted to confirm availability and stateroom information.

Please choose the number of guests in the cabin: 2     3     4

Please choose type of cabin you would like:

Guest 1:

First Name as it appears on passport

Middle name as it appears on passport

Last name as it appears on passport
Date of Birth (mm/dd/yyyy)
Telephone Number
Email Address
Emergency Contact Name
Emergency Contact Phone Number
Please list any medical needs/concerns
Your Gender: Male     Female

Guest 2:

First Name as it appears on passport

Middle name as it appears on passport

Last name as it appears on passport
Date of Birth (mm/dd/yyyy)
Telephone Number
Email Address
Emergency Contact Name
Emergency Contact Phone Number
Please list any medical needs/concerns
Your Gender: Male     Female

Guest 3: (Leave Blank if Not Applicable)

First Name as it appears on passport

Middle name as it appears on passport

Last name as it appears on passport
Date of Birth (mm/dd/yyyy)
Telephone Number
Email Address
Emergency Contact Name
Emergency Contact Phone Number
Please list any medical needs/concerns
Your Gender: Male     Female

Guest 4: (Leave Blank if Not Applicable)

First Name as it appears on passport

Middle name as it appears on passport

Last name as it appears on passport
Date of Birth (mm/dd/yyyy)
Telephone Number
Email Address
Emergency Contact Name
Emergency Contact Phone Number
Please list any medical needs/concerns
Your Gender: Male     Female

If you have a referral code, please enter it here:

Would you like to add travel protection for $59 per person?

You will be contacted within 24 business hours to confirm your reservation and collect applicable deposit.

Copyright 2011 - Perform for a Cause, Inc. - All Rights Reserved