Home Cruise
Calendar
Explore our
Cruises
Photo
Albums
Contact Us FAQ About Us
Contact Us Bookmark this Page

Western Mediterranean Cruise Share Request

Please put me on the roommate share list for PIED PIPER's Western Mediterranean Cruise. Fields marked with* are Required.

Email Address*

Have you registered on PiedPiperTravel.com before? If so, you can log in and we'll fill out your name/address information
> Log in

Confirm Address*
First Name*
Last Name*
Gender * Male Female
Address*
Address 2
City*
State/Province* Choose 'N/A' for non-US/Canadian addresses
Zip/Postal Code*
Country*
Home Phone #*
Cell Phone #
Work Phone #
Can we leave a message?YesNo
Please tell us how you heard of us:*
(Which magazine/publication?, Which webpage?, From a friend/previous passenger? etc.
Do you currently have a favorite travel agent? (PIED PIPER pays commissions to certified travel agents for its gay group cruises!) No Yes
Travel Agent Name:
Travel Agent Email:
Travel Agent Tel:
Travel Agent Fax:
Travel Agent Address:
Which categories would you like to be listed for?
IR1 - Deluxe interior stateroom $1,099
OR1 - Deluxe Oceanview stateroom $1,249
IR2 - Deluxe interior stateroom $1,119
BL1 - Premium Balcony stateroom $1,529
BR2 - Deluxe Balcony stateroom $1,499
BA - Balcony Aurea stateroom $1,739
BL2 - Premium Balcony stateroom $1,559
SL1 - Premium Suite Aurea $2,689
Would you like a smoker or non-smoker as a roommate?
Non-smoker Smoker
 
CAPTCHA Image

Please enter the above security code here: [ Different Image ]
 

Thank you for your interest in our cruises! We will call you as soon as we find a roommate for you to make sure you're still interested. Hope to see you onboard!
PLEASE NOTE THAT ALL PAYMENTS MADE FOR SHARE RESERVATIONS ARE NON-REFUNDABLE UNLESS A SHARE REPLACEMENT CAN BE FOUND