CruiseMate Request Form

Admin

Soul at Sea Cruise-Mate Request Form

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

Preferred cruise(s) or vacation destination*

YesNo

Name*

E-mail*

Phone Number*

Area CodePhone Number

Birth date / age*

City & State

YesNoIt doesn't matter to me

Male onlyFemale onlyEither; it doesn't matter to me

YesNoSometimes

YesNoWithin 1 week

Any additional comments

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.