Mode Travel Agency
The Romantic Rhine - European River Cruise 2025
THIS IS A QUOTE REQUEST AND DOES NOT CONFIRM YOUR SPACE UNTIL PAYMENT IS RECEIVED.
After we receive your form, you will hear from an agent with a personalized quote. You will receive a proposal with payment instructions to confirm your reservation.
Thank you and we look forward to working with you!
Who is your travel agent?
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Casey Cole - Mode Travel Agency
Another agent - Please list in the box
Not sure yet - Please list where you heard about this experience
Another agent - Please list in the box
How did you hear about this experience?
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Passenger 1: First legal name (as does/will appear on passport)
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Passenger 1: Middle (full legal) name (as does/will appear on passport)
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Passenger 1: Last Name (as does/will appear on passport)
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Passenger 1: Date of Birth
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Gender (this is needed for TSA information)
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Female
Male
I have a VALID and CURRENT passport, that does not expire before December 18, 2025.
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Yes
No
Email
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Phone Number
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Address
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Street Address
Address Line 2
City
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Postal / Zip Code
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Country
Will you be sharing a room?
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Yes, I will fill in my roommates information below
Yes, but I don't know who my roommate will be yet
No, I will pay the single room upcharge *we only have a very limited number of single spots - this is based on availability*
Passenger 2: First legal name (as does/will appear on passport)
Passenger 2: Middle (full legal) name (as does/will appear on passport)
Passenger 2: Last Name (as does/will appear on passport)
Passenger 2: Date of Birth
MM
/
DD
/
YYYY
Gender (this is needed for TSA information)
Female
Male
I have a VALID and CURRENT passport, that does not expire before December 18, 2025.
Yes
No
Email
Phone Number
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What is your relationship to passenger #1?
Boyfriend/Girlfriend
Child
Please select
Fiance/Fiancee
Friend
Other
Parent
Partner
Sibling
Spouse
Preferred departure date: (dates are June 9-17, 2025 *actual cruise 10-17)
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Preferred return date
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MM
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Do you need flights?
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Yes (please include city preference below)
No
Please select
*Preferred Departure City:
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Other comments:
Frequent Flyer Number (& airline) Passenger 1
Frequent Flyer Number (& airline) Passenger 2
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