Full Name (exactly as it appears on your Passport)*

Your Birthdate*

Phone

Cell*

Email Address*

Confirm Email Address*

Street Address*

City*

Province* Province*ABBCMBNBNLNSNTNUONPEQCSKYT

Postal Code*

Citizenship?*

Is your passport valid for 6 months beyond return date? Is your passport valid for 6 months beyond return date?YesNo

Passport Number?

Your Passport Expiry (e.g. Dec 31, 2025)

Number of guests cruising together Number of guests cruising together1234More than 4

Full Name (exactly as it appears on their passport)*

2nd Passenger's Birthdate*

2nd Passenger Citizenship?*

Is their passport valid for 6 months beyond return date? Is their passport valid for 6 months beyond return date?YesNo

2nd Passenger's Passport Expiry (e.g. Dec 31, 2025)

Number of staterooms needed Number of staterooms needed12

Preferred Cruise Line?* Preferred Cruise Line?*No preferenceAurora ExpeditionsCelestyal CruisesCrystal CruisesExplora JourneysHurtigruten ExpeditionsNorwegian Cruise LineQuark ExpeditionsSwan HellenicVirgin VoyagesOther

Enter your preferred cruise line here

Alternative Cruise Line? Alternative Cruise Line?No AlternativeAurora ExpeditionsCelestyal CruisesExplora JourneysHurtigruten ExpeditionsNorwegian Cruise LineCrystal CruisesQuark ExpeditionsSwan HellenicVirgin VoyagesOther

Enter your 2nd preferred cruise line

Do you have a preferred cruise itinerary? Do you have a preferred cruise itinerary?YesNo

Enter the Cruise Itinerary Name here

Enter alternative Itinerary

Preferred cruise departure? Preferred cruise departure?YesNo

Enter your preferred cruise departure date

Enter an alternative cruise departure date

Do you have a preferred ship size? Do you have a preferred ship size?YesNo

Which size of ship do you prefer? Which size of ship do you prefer?Small (799 passenger or less)Small-Mid (800-1,499 passengers)Midsized (1,500-2,499 passengers)Large (2,500-3,499 passengers)Mega (3,500+ passengers)

Do you have preferred destination(s)? Do you have preferred destination(s)?YesNo

What style of cruise are you interested in? What style of cruise are you interested in?Luxury Ocean CruisePremium Ocean CruiseBudget Ocean CruiseLuxury Adventure/Expedition CruisePremium Adventure/Expedition CruiseBudget Adventure/Expedition CruiseOther

List all destinations you'd like to visit

Enter your preferred cruising style

Preferred cruise duration? Preferred cruise duration?3-5 Nights6-7 Nights8-10 Nights12-14 Nights15-21 Nights22-28 Nights1-2 Months3-4 Months5-6 MonthsMore than 6 monthsUndecided

Alternative Cruise Duration? Alternative Cruise Duration?3-5 Nights6-7 Nights8-10 Nights12-14 Nights15-21 Nights22-28 Nights1-2 Months3-4 Months5-6 MonthsMore than 6 monthsUndecided

Pre- or post-cruise accommodation? Pre- or post-cruise accommodation? Yes please quoteNo quote required

Number of nights pre-cruise (at least 2 recommended)? Number of nights pre-cruise (at least 2 recommended)?No quote required1 Night2 Nights3 Nights5 Nights4 Nights6 Nights7 Nights8+ Nights

Number of nights post-cruise? Number of nights post-cruise?No quote required1 Night2 Nights3 Nights5 Nights4 Nights6 Nights7 Nights8+ Nights

Quote for international flights? Quote for international flights? Yes please quoteNo quote required

Flight Departure Date (recommend 2 days before)

Flight Return Date

Preferred Departure Airport*

Alternative Departure Airport

Preferred Airline

Alternative Airline

Minimum Cruise Budget (CAD $)?

Maximum Cruise Budget (CAD $)?

Minimum Total Vacation Budget (CAD $)?

Maximum Total Vacation Budget (CAD $)?

Let us know of any special requirements. If you are cruising with more than 1 other guest, we will collect all the passenger details later.

Travel Insurance Travel Insurance Please provide a quote for travel insurance I decline travel insurance and will get my own. I understand the risks.

Would you like to hear from Kaz Custom Travel about discounted cruises, solo cruiser offers or other cruise promotions? Would you like to hear from Kaz Custom Travel about discounted cruises, solo cruiser offers or other cruise promotions? Yes, please add me to your newsletter. No, please do NOT add me to your newsletter.