Register Now for your Honeymoon Registry

Contact Information:

Your First Name:
Your Last Name:
Partners First Name:
Partners Last Name:
Day time phone:
Evening phone:
How did you hear about us?	Search Engine Friend Company Magazine Affiliate Family
Please be more specific, and give us the name of the person, company, or search engine that referrred you.

Additional Contact Information (optional)

Contact Name:
Relationship to Couple:
Contact Phone:
Email Address:

Information for receipt of registry Payout checks and email gift purchase notifications

Email address:
Address:
City:
State:	select Alabama Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip Code:

Login Information (for couples use only)

Username:
Password:
Retype password:

Honeymoon/Vacation Information

Registry Type:	Honeymoon Celebration Anniversary
Vacation Destination:	Choose a Destination Africa Alaska Asia: South East Asia: North/East Australia / New Zealand Bahamas Bermuda Canada Caribbean Central America China Cruise: Atlantic Cruise: East Caribbean Cruise: Mediterranean Cruise: Other Cruise: Pacific Cruise: West Caribbean Europe: Eastern Europe: Northern Europe: Western Hawaiian Islands Mediterranean Mexico Middle East Russia South America South Pacific United States: Mainland World Other
Tell us more about your vacation destination. If you have not decided please list options you would like to discuss with a For the Moon specialist
Wedding/Celebration Date:	Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 - 2006 2007 2008 2009 2010 2011 2012 2013
Honeymoon/Vacation Date:	Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 - 2006 2007 2008 2009 2010 2011 2012 2013
Vacation length:	1 Day 2 Days 3 Days 4 Days 5 Days 6 Days 7 Days 8 Days 9 Days 10 Days 11 Days 12 Days 13 Days 14 Days 15 Days 16 Days 17 Days 18 Days 19 Days 20 Days 21 Days 22 Days 23 Days 24 Days 25 Days 26 Days 27 Days 28 Days 29 Days 30 Days 31 Days More then 1 month
Vacation Budget:	(optional)
Please have Alderman Travel contact us to discuss booking our honeymoon:	Yes No

Activities that you would enjoy on your vacation:

Amusement Parks	ATV Tours	Beaches
Bicycle Tours	Cruises	Dining
Eco-tours	Gambling	Golf
Helicopter Tours	Hiking	Historical Events
Historical Sites	Horseback Riding	Night Life
Sailing	Scuba diving	Shopping
Sight Seeing	Snorkeling	Skiing/Snowboarding
Spa	Spelunking	Sport Fishing
Theatre	Water Sports	Other

If "Other" please specify what you would like to do:

Setup Fee & Service Charges

	The Silver Package - A one-time set-up fee of $19.95 and the transaction fee for each gift purchased is 10%
	The Gold Package - A one time set-up fee of $39.95 and the transaction fee for each gift purchased is 8%
	The Platinum Package - A one time set-up fee of $74.95 and the transaction fee for each gift purchased is 5%

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