goCruiseMe Donation Set-Up Form Your Name* Please provide your name. Organization (if any) Please let us know your name. Your Email* Please provide a valid email address. Contact Phone Number Invalid Input Your Fundraising Goal Amount $ Please let us know your name. You may enter an approximate amount. Covers Cruise Fare (all taxes and fees), Gratuities and Insurance for all family members minus the deposit. See here for Cruise Pricing You can leave this field blank if you are unsure, and we will help you after you submit the form. Campaign Title Please let us know your name. Example: Smith Family Cruise with Autism on the Seas Type of Campaign* PublicPrivate Please make a Selection Public - We will add your Donation Page to our list of Campaigns on our website, so anyone can donate to your Campaign Private - You choose who you want to see your Donation page. We provide you with the "Link" to your Donation page, and you share it with only those you want to (via email, FaceBook, etc) Attach a PICTURE of your Family Invalid Input Campaigns are extremely effective when they include a picture of your family. - Web Browser: Do not use Safari - Limit image size to under 1MB (or less than 999kb) - If unable to attach Picture, please submit form without it, and email a picture to us at firstname.lastname@example.org Tell your Story It's very important to tell your story. One that is personal, honest and from the heart, and include why you need assistance. Having a cruise already chosen will be more effective. You DO NOT need to have a cruise booked, although cruise pricing is lower the further out the cruise is when you book. Campaigns that raise the most money clearly explain: - Why this means so much to you - How thankful you will be Here's a start (edit this as you see fit): Every day we live with the direct effects of autism. The challenges are great and require a constant devotion from each family member, with some days requiring more energy than others. [Insert family member name with autism] has blessed us with so many wonderful moments but has changed the way we are able to approach events that others are able to do on a regular basis. Autism affects us as a family mentally, physically, emotional and financially. We haven’t had true family vacation together in [insert time frame here]. Autism on the Seas is a non-profit company that allows families like ours to experience a vacation that at one time we would have imagined to be impossible. They arrange specific special needs accommodations with the cruise lines and they provide professionally qualified staff to assist us with expedited port check-in, meal assistance, pool time supervision, beach excursions, respite (time for [insert family member name with autism] to be well cared for while the rest of the family can do other things), and many other perks and assistance. Autism on the Seas also provides pre-cruise professional consultation and valuable resources, including connecting with other families for support. Please let us know your message. Questions / Comments Please let us know your message. Security Code* Invalid Input Submit this form, and we will set-up your Donation pagewithin 2 business days and we will contact you.