! Columbine Cruises Request Form

Request Form
We're the Certified Cruise Specialists
...with the Prompt, Personal Service!
LET US HELP YOU PLAN
YOUR 2008 DREAM VACATIONS
[Home] [Specials] [Travel Info] [Cruise Lines] [Request] [About Us]

Want a Brochure for a Cruise?
Brochures will be sent with every cruise booking.

Want a Price Quote on a Cruise?

Fill out the request form below!
You should receive a reply from our Cruise Specialists within 24 Hours.

Please fill out this form completely!

Name (Last, First):
Street Address:
City, State, Zip Code:
Phone Number (w/ Area Code):
FAX Number:
E-Mail Address:

Where would you like to sail?
Number of Nights:
Approximate Travel Date:
Cruise Line Preference?:

Are you a past passenger of any Cruise Line?
Which Ones?

Price Quote
Please Complete this additional information for a price quote:

Number of Persons Traveling:
      Adults-21 & Over:
      Teens-13 to 20yrs:
      Children-Under 12:
      Seniors-Over 55:
      Total Number of Persons Traveling:

Total Number of Cabins Needed:

I will need Air from:

Preferred Type of Cabin:
                    Inside (No Window)
                    Outside (Ocean View)
                    Suite (View & Balcony)

Additional Needs & Requests:
            (Cruise Line?, Ship?, Meals?, Ages of Children?, Etc.)
                        (Please Be Specific!)

We're the Discount Cruise Specialists!
Save 30% to 60% OFF Many Cruises!
Send mail to feldhaus@Qwest.net with questions or comments!
All names and trademarks are property of their respective owners.
Columbine Cruises
2764 La Strada Grande Heights
Colorado Springs, CO 80906
(719)527-1366 FAX: (719)527-4228