Application Form
Telephone:
01243 871664 -
Email:
info@sussex-cruiseclub.co.uk
Personal Details
Names (as per passport)
Title
Forename*
Surname*
Date of Birth
1)
2)
Address
House Number
Street/Road
Town
County
Post Code
Email*
Home Telephone*
Mobile Number
Cruise History
(Please indicate type of previous cruises taken)
Fred Olsen
P&O Cruises
Princess Cruises
Cunard
Ocean Village
Royal Caribbean Int’l
Holland America Line
Regent Seven Seas
Silverseas
Hurtigruten
Crystal Cruises
Orient Lines
Norweigan Cruise Line
Swan Hellenic
Never Cruised before
Other (Specify)
Are you interested in Flycruising?
Yes
No
How would you like to receive offers & information?
Email
Post
(
Please note:
if you are sending this form by email, all fields marked * are required.)
