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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
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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*
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
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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

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):
Please let us know your message.

Questions / Comments
Please let us know your message.

Security Code
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Submit this form, and we will set-up your Donation page
within 2 business days and we will contact you.