CruiseMate Request Form

Admin

Soul at Sea Cruise-Mate Request Form

Check all that apply

Roommate for a cruiseRoommate for a hotelRoommate for a land-based vacation

Preferred cruise(s) or vacation destination*

Have you registered yet?

YesNo

Name*

E-mail*

Phone Number*

Area CodePhone Number

Birth date / age*

City & State

Will you accept a Smoker?

YesNoIt doesn't matter to me

Gender preference?

Male onlyFemale onlyEither; it doesn't matter to me

Are you a morning person?

YesNoSometimes

Are you a neat-freak?

YesNoSometimes

If you find a cruise mate, are you prepared to place your deposit today?

YesNoWithin 1 week

Any additional comments

Electronic Signature

Yes, I agree to the above and will hold SAS harmlessNo, I do not agree to the above.

If you do not agree to the above, please do not submit this form as it will not be processed. We will only process forms that will agree to hold SAS harmless as it relates to this complimentary service.