Orient Lines Home Page
The Destination Cruise Specialists
 

 


Brochure Request Form
...

First Name: 
Last Name: 
Address: 
Country: 
State:  
City: 
Zip 
Email Address: 
Phone Number: 


The following is optional and will help us to better serve you.

1. Are you planning on taking a cruise vacation in the next:

      6 Months     6-12 months     1-3 years     Not Sure

2. Have you ever traveled outside the U.S. and/or Caribbean?
      Yes     No

3. Yes, I am interested in receiving information on cruises 
to the following destinations.
(select all that apply):

Africa
Antarctica
Australia
Caribbean
China

Europe
Greek Isles
India
Mediterranean
New Zealand

Panama Canal
Scandinavia
South America
Southeast Asia
None of the Above

4. Have you ever been on a cruise before?
      Yes     No

   If yes, where? (select all that apply):

Africa
Panama Canal

Bahamas
Alaska

Caribbean
Europe

South America
Orient

5. Where are you planning to cruise/travel next?

Africa
Alaska
Antarctica
Australia
Black Sea
Caribbean
China

Egypt
Europe
Greek Isles
India
Israel
Mediterranean
New Zealand

Panama Canal
Scandinavia
South America
Southeast Asia
Suez Canal
None of the Above

6. What length of cruise vacation do you prefer?
5-7 days   7-10 days   10-14 days
15-21 days   21+ days & up

7. How often do you take vacations?
Once per year     2-3 times per year
4-6 times per year   more than 6 times

8. When do you prefer to take vacations?
Spring     Summer     Fall
Winter     no preference

9. How much do you spend annually on vacations?
under $2,499     $2,500-$4,999     $5,000-$7,499
$7,500-$9,999     $10,000+

10. Please indicate your age:
under 35     35-44     45-49
50-59     60-69     70+

11. Please indicate your household income:

under $40,000
$75,000-$99,999

$40,000-$59,000
$100,000-$124,999

$60,000-$74,999
$125,000+

12. How did you learn about Orient Lines

      

Television:
Radio:
Direct Mail:
Polo Club:
A Friend:
Travel Agent:
Other:    

               

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