Leisure Travel Request Form

Military Affiliation Military Affiliation Active Duty/Reserve Retired 100% Disabled Veteran Spouse

Primary Traveler

Phone

Date of Birth

Primary Address

Email

City

Address Line 2

ZIP / Postal Code

State / Province / Region

Secondary Traveler

Country

Date of Birth

Additional Travelers Please include full legal names and date of birth for all additional travelers

Beginning Travel Date

Return Travel Date

Service Needed Service Needed Check all that apply Airfare Vacation Package Escorted Tour Cruises Disney Resort Universal Resort LEGOLAND Resort Other

If other, please list:

Where are you traveling from?

Where are you traveling to?

Cruise Line Preference Cruise Line Preference Check all that apply Carnival Norweigian Royal Caribbean Princess Disney No Preference Other

If other cruise line, please list:

Departure Port Departure Port Check all that apply FT Lauderdale, FL Port Canaveral, FL Miami, FL Galveston, TX Los Angeles, CA San Diego, CA No Preference Other

If other port, please list:

Destination Destination Check all that apply Bahamas Eastern Caribbean Mexican Riviera Western Caribbean Europe Alaska Other

If other destination, please list:

Cruise Length Cruise Length Check all that apply 1-2 Days 3-5 Days 6-9 Days 10-14 Days Over 14 Days

Cabin Cruise Preference Cabin Cruise Preference Check all that apply Interior Ocean View Balcony Suite

Airline Preference

Airline Cabin Preference Airline Cabin Preference Check all that apply Basic Economy Economy Premium Economy Business/First Class

Are you celebrating anything special?