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Cruise Assistance Package (Cruise Without Our Staff)

No additional cost over the Cruise Line pricing.  The pricing you find on the cruise line websites, are the prices you pay.

ONLINE QUOTE/BOOKING FORM

WHAT's INCLUDED

CONTACTING US

  • You may call us and speak with a representative at any time for booking, quotes or information at 1-800-516-5247.

  • You may also email us at This email address is being protected from spambots. You need JavaScript enabled to view it.

Additional Services are available, which can be obtained separately and added to your cruise reservation, after your cabin is reserved.

  • Airfare

  • Gratuities

  • Ground Transportation

  • Hotels

  • Insurance

 

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Booking Form (Cruise WITHOUT Staff)

Complete as much information as you can to help us with arranging your cruise

* Required

Cruise Choice

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Cruise Line
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Departure Port City or State
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# of Cruise Nights
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choose as many as you like for quote purposes

Ship:
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Date of Sailing
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If you do not have a specific date, please choose the months that you would like a quote on:

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Cabin Preference

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Choose one or as many as you would like for a price comparison

Specify Other Cabin Type not Listed Above or a more detailed description/request:
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Total number of Passengers*
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Total Number of Cabins Desired*
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Requested Location for Multiple Cabins*
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Main Contact Person for Reservation

Salutation*
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FIRST & LAST Name*
Please let us know your name.

Street Address*
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Add'l Address Info
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City*
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Your State of Residence (or Country):
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Zip Code:*
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Country*
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Home Phone*
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Mobile Phone
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Work Phone
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Your Email*
Please let us know your email address.

***NOTE: Must complete PASSENGER INFORMATION section for Main Contact person if they are cruising***

1st PASSENGER INFORMATION

  • Each Passenger's First & Last name MUST be exactly as it appears on their identification.
  • Cruise lines require birth dates for all passengers
  • At least 1 person in each cabin must be 21 years old
  • Guests must be at least 6 months old
  • Restrictions apply for pregnant women
  • Contact Us for more info

Salutation
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First Name*
Invalid Input

Last Name*
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Date of Birth*
/ / Invalid Input

Citizenship:*
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Other Citizenship*
Invalid Input

Gender:*
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Past Passenger Cruise Line #:
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Shirt Size*
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Disability*
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Other Disability
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Bringing a Wheelchair
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Bringing Service Animal
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Special Needs Request

List any medical conditions, needs or requests (Shower Stool, Mobility, Visual, Hearing, Oxygen, Dialysis, etc)

Invalid Input

A more detailed questionnaire will be sent closer to cruise date to collect special needs and dietary information.

2nd PASSENGER INFORMATION

Salutation
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First Name
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Last Name
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Date of Birth
/ / Invalid Input

Citizenship:
Invalid Input

Other Citizenship
Invalid Input

Gender:
Invalid Input

Past Passenger Cruise Line #:
Invalid Input

Shirt Size
Invalid Input

Disability
Invalid Input

Other Disability
Invalid Input

Bringing a Wheelchair
Invalid Input

Bringing Service Animal
Invalid Input

Special Needs Request

Please list any medical conditions, needs or requests here (such as Shower Stool, Mobility, Visual, Hearing, Oxygen, Dialysis, etc)

Invalid Input

A more detailed questionnaire will be sent closer to cruise date to collect special needs and dietary information.

3rd PASSENGER INFORMATION

Salutation
Invalid Input

First Name
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Last Name
Invalid Input

Date of Birth
/ / Invalid Input

Citizenship:
Invalid Input

Other Citizenship
Invalid Input

Gender:
Invalid Input

Past Passenger Cruise Line #:
Invalid Input

Shirt Size
Invalid Input

Disability
Invalid Input

Other Disability
Invalid Input

Bringing a Wheelchair
Invalid Input

Bringing Service Animal
Invalid Input

Special Needs Request

Please list any medical conditions, needs or requests here (such as Shower Stool, Mobility, Visual, Hearing, Oxygen, Dialysis, etc)

Invalid Input

A more detailed questionnaire will be sent closer to cruise date to collect special needs and dietary information.

4th PASSENGER INFORMATION

Salutation
Invalid Input

First Name
Invalid Input

Last Name
Invalid Input

Date of Birth
/ / Invalid Input

Citizenship:
Invalid Input

Other Citizenship
Invalid Input

Gender:
Invalid Input

Past Passenger Cruise Line #:
Invalid Input

Shirt Size
Invalid Input

Disability
Invalid Input

Other Disability
Invalid Input

Bringing a Wheelchair
Invalid Input

Bringing Service Animal
Invalid Input

Special Needs Request

Please list any medical conditions, needs or requests here (such as Shower Stool, Mobility, Visual, Hearing, Oxygen, Dialysis, etc)

Invalid Input

A more detailed questionnaire will be sent closer to cruise date to collect special needs and dietary information.

5th PASSENGER INFORMATION

Salutation
Invalid Input

First Name
Invalid Input

Last Name
Invalid Input

Date of Birth
/ / Invalid Input

Citizenship:
Invalid Input

Other Citizenship
Invalid Input

Gender:
Invalid Input

Past Passenger Cruise Line #:
Invalid Input

Shirt Size
Invalid Input

Disability
Invalid Input

Other Disability
Invalid Input

Bringing a Wheelchair
Invalid Input

Bringing Service Animal
Invalid Input

Special Needs Request

Please list any medical conditions, needs or requests here (such as Shower Stool, Mobility, Visual, Hearing, Oxygen, Dialysis, etc)

Invalid Input

A more detailed questionnaire will be sent closer to cruise date to collect special needs and dietary information.

6th PASSENGER INFORMATION

Salutation
Invalid Input

First Name
Invalid Input

Last Name
Invalid Input

Date of Birth
/ / Invalid Input

Citizenship:
Invalid Input

Other Citizenship
Invalid Input

Gender:
Invalid Input

Past Passenger Cruise Line #:
Invalid Input

Shirt Size
Invalid Input

Disability
Invalid Input

Other Disability
Invalid Input

Bringing a Wheelchair
Invalid Input

Bringing Service Animal
Invalid Input

Special Needs Request

Please list any medical conditions, needs or requests here (such as Shower Stool, Mobility, Visual, Hearing, Oxygen, Dialysis, etc)

Invalid Input

A more detailed questionnaire will be sent closer to cruise date to collect special needs and dietary information.

Add additional Passengers?*
Invalid Input

 

7th PASSENGER INFORMATION

Salutation
Invalid Input

First Name
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Last Name
Invalid Input

Date of Birth
/ / Invalid Input

Citizenship:
Invalid Input

Other Citizenship
Invalid Input

Gender:
Invalid Input

Past Passenger Cruise Line #:
Invalid Input

Shirt Size
Invalid Input

Disability
Invalid Input

Other Disability
Invalid Input

Bringing a Wheelchair
Invalid Input

Bringing Service Animal
Invalid Input

Special Needs Request

Please list any medical conditions, needs or requests here (such as Shower Stool, Mobility, Visual, Hearing, Oxygen, Dialysis, etc)

Invalid Input

A more detailed questionnaire will be sent closer to cruise date to collect special needs and dietary information.

8th PASSENGER INFORMATION

Salutation
Invalid Input

First Name
Invalid Input

Last Name
Invalid Input

Date of Birth
/ / Invalid Input

Citizenship:
Invalid Input

Other Citizenship
Invalid Input

Gender:
Invalid Input

Past Passenger Cruise Line #:
Invalid Input

Shirt Size
Invalid Input

Disability
Invalid Input

Other Disability
Invalid Input

Bringing a Wheelchair
Invalid Input

Bringing Service Animal
Invalid Input

Special Needs Request

Please list any medical conditions, needs or requests here (such as Shower Stool, Mobility, Visual, Hearing, Oxygen, Dialysis, etc)

Invalid Input

A more detailed questionnaire will be sent closer to cruise date to collect special needs and dietary information.

9th PASSENGER INFORMATION

Salutation
Invalid Input

First Name
Invalid Input

Last Name
Invalid Input

Date of Birth
/ / Invalid Input

Citizenship:
Invalid Input

Other Citizenship
Invalid Input

Gender:
Invalid Input

Past Passenger Cruise Line #:
Invalid Input

Shirt Size
Invalid Input

Disability
Invalid Input

Other Disability
Invalid Input

Bringing a Wheelchair
Invalid Input

Bringing Service Animal
Invalid Input

Special Needs Request

Please list any medical conditions, needs or requests here (such as Shower Stool, Mobility, Visual, Hearing, Oxygen, Dialysis, etc)

Invalid Input

A more detailed questionnaire will be sent closer to cruise date to collect special needs and dietary information.

10th PASSENGER INFORMATION

Salutation
Invalid Input

First Name
Invalid Input

Last Name
Invalid Input

Date of Birth
/ / Invalid Input

Citizenship:
Invalid Input

Other Citizenship
Invalid Input

Gender:
Invalid Input

Past Passenger Cruise Line #:
Invalid Input

Shirt Size
Invalid Input

Disability
Invalid Input

Other Disability
Invalid Input

Bringing a Wheelchair
Invalid Input

Bringing Service Animal
Invalid Input

Special Needs Request

Please list any medical conditions, needs or requests here (such as Shower Stool, Mobility, Visual, Hearing, Oxygen, Dialysis, etc)

Invalid Input

A more detailed questionnaire will be sent closer to cruise date to collect special needs and dietary information.

11th PASSENGER INFORMATION

Salutation
Invalid Input

First Name
Invalid Input

Last Name
Invalid Input

Date of Birth
/ / Invalid Input

Citizenship:
Invalid Input

Other Citizenship
Invalid Input

Gender:
Invalid Input

Past Passenger Cruise Line #:
Invalid Input

Shirt Size
Invalid Input

Disability
Invalid Input

Other Disability
Invalid Input

Bringing a Wheelchair
Invalid Input

Bringing Service Animal
Invalid Input

Special Needs Request

Please list any medical conditions, needs or requests here (such as Shower Stool, Mobility, Visual, Hearing, Oxygen, Dialysis, etc)

Invalid Input

A more detailed questionnaire will be sent closer to cruise date to collect special needs and dietary information.

12th PASSENGER INFORMATION

Salutation
Invalid Input

First Name
Invalid Input

Last Name
Invalid Input

Date of Birth
/ / Invalid Input

Citizenship:
Invalid Input

Other Citizenship
Invalid Input

Gender:
Invalid Input

Past Passenger Cruise Line #:
Invalid Input

Shirt Size
Invalid Input

Disability
Invalid Input

Other Disability
Invalid Input

Bringing a Wheelchair
Invalid Input

Bringing Service Animal
Invalid Input

Special Needs Request

Please list any medical conditions, needs or requests here (such as Shower Stool, Mobility, Visual, Hearing, Oxygen, Dialysis, etc)

Invalid Input

A more detailed questionnaire will be sent closer to cruise date to collect special needs and dietary information.

 

Referrals

Referred By
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Full Name of Referrer
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Group Code provided by AotS (if any)
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Dining

Dining Time Preference

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If there is another party or person, not in this cabin, that you would like to sit with, please enter their full name here :  
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How did you learn about Autism on the Seas?
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Please specify what Organization or Other source
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Questions, Requests, Notes, or anything additional about your reservation
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Payment (Quote)

Deposit (or Full Payment if past Final Payment Date) is Due to Reserve Cabin

Or you may Request a Quote Only (see below)

I would like to pay by:

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Voucher, Discount Code or Gift Certificate Number/Code
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You will be credited appropriately on your Invoice.

Payment and Cancellation Fees

Please see the cruise line website for Information

CONFIRMATION / RECEIPT

You will receive an email confirming your booking request shortly after submission.

We will contact you to confirm cabin choices and/or pricing (if requested or needed).

You will receive an Invoice via email after your payment clears, which will include cruise information and any balances due.

Check payments will delay confirmations, which will delay receipt of your Paid Invoice.