Wufoo
Crop and Cruise Group Referral Registration
If you are anxious to earn a FREE Crop and Cruise in Nov. 2010 or one of the other amazing Reward Packages by gathering together a group to join us on our cruise, then please register your group by filling out this form!
PLEASE NOTE: you are under no obligation to buy anything nor are you committed to anything by filling out this form!! We simply wish to help and reward those of you who are anxious to help us spread the word across Canada about this ultimate vacation experience and want to show you our appreciation for supporting this industry and keeping it alive, well and FUN!!!
Name
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First
Last
Address
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Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
United States
United Kingdom
Australia
Canada
France
New Zealand
India
Brazil
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Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Democratic Republic of the Congo
Republic of the Congo
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Country
Phone Number
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Email
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Your GROUP name (please make sure your referrals provide us with this group name when they register online for the cruise!)
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I would LOVE to receive some promo assistance to help me gather together my group!
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YES! Please contact me with details!
No... I think I can handle it because it is such an ultimate vacation opportunity, who wouldn't want to come???!!
Some "fine print":
1. Groups can include husbands, children 3 years and older, friends and non-scrapbooking attendees... anyone who books through Crop and Cruise.
2. Group members will not qualify until min. payment is received.
3. Group members must put your "Group Name" on their registration form.
4. Rewards will be given based on the first groups to reach each level.
5. Only one Reward Package per group.
6. "Free Cruise" consists of one free berth in an inside cabin based on double occupancy as part of our Crop and Cruise in Nov. 2010. It does not include airfare or other expenses or add-ons.
7. You do not need to join us on our Crop and Cruise to receive the cruise or any Reward Package (ie. you can give it away!)
8. Reward packages are as shown and may not be substituted for cash or any other rewards.
I have read and agree with the above:
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Yes, I agree with the above terms and conditions!
No, I have a question/concern about the above!
Do Not Fill This Out
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