GROUP QUOTE FORM Contact Information (Required Fields are in Red) Title: Mr. Mrs. Miss. Ms.  Dr.  First Name: Last Name: Email Address: Address:   City:     ST:  Zipcode: AM Phone#: Location: Work Home Fax  Pager Other  PM Phone#: Location: Work Home Fax  Pager Other  How did you find us ?  Search Engine Web Directory A Friend  Radio Ad Newspaper Ad TV Ad  Email Ad Direct Mail Yellow Pages  Other(describe-->)  Requested Information (Required Fields are in Red) Departure Date: JAN FEB MAR  APR MAY JUN  JUL AUG SEP  OCT NOV DEC  1 2 3 4  5 6 7 8  9 10 11  12 13 14  15 16 17  18 19 20  21 22 23  24 25 26  27 28 29  30 31  2007 2008 2009  2010  # Traveling: 1-10 11-20 21-30 31-40  41-50 51-60 61+  Adults 1-10 11-20  21-30 31-40 41-50 51-60  61+  Children 0 1-10  11-20 21-30 31+  Cruiseline: --Cruise Operators--  CARNIVAL CRUISES  CELEBRITY CRUISES  COSTA CRUISES  CRYSTAL CRUISES  CUNARD STEAMSHIP  DISNEY CRUISE LINE  HOLLAND AMERICA LINE  NORWEGIAN CRUISES  PRINCESS CRUISES  RADISSON SEVEN SEAS  REGAL CRUISES  ROYAL CARIBBEAN INTL  WINDSTAR CRUISES  OTHER (describe-->)  Tour Package: --Tour Operators--  APPLE VACATIONS  BRITISH AIRWAYS  GLOBUS/COSMOS TOURS  EUROPEAN TRAVEL  GO-GO TOURS  HADDON HOLIDAYS  PLEASANT HAWAIIN  TRAVEL IMPRESSIONS  WALT DISNEY TRAVEL  OTHER (describe-->)  Destination: --Select Destination--  USA  --ALASKA  --DISNEY WORLD  --FLORIDA  --HAWAII  --CALIFORNIA  AFRICA  ASIA  AUSTRALIA/NEW ZEALAND  CANADA/NEW ENGLAND  CARIBBEAN  EUROPE  --EURODISNEY  --IRELAND  ISRAEL  MEXICO  ORIENT  PANAMA CANAL  SOUTH AMERICA  TAHITIAN ISLANDS  OTHER (describe-->)  # Cabins/Rooms: 1-10 11-20 21-30 31-40  41-50 51+  Choose Type  No View Ocean View Balcony  Suite Other  # Single cabins: # Double cabins: # Triple cabins: # Quad cabins: Price Range: Select Price Range  Under $300.00 each $300.00 to $500.00 each  $300.00 to $500.00 each $500.00 to $750.00 each  $750.00 to $1000.00 each $1000.00 to $1500.00 each  $1500.00 to $2000.00 each $2000.00 to $3000.00 each  $3000.00 to $5000.00 each OTHER (describe-->)  Click on the submit button below to complete your request.

Blue Moon Cruises & Tours 175 Monmouth Road West Long Branch, NJ 07764 Toll Free: 800-892-0496 Local: 732-263-1990 Fax: 732-263-1992 E-mail: Cruisemaster@Bluemooncruises.com

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