Singles Mingle Cruises
Secured Order Form


Call us at 1-800-222-6266 to register by phone
OR - Fill out the information below -

How Many People are you registering?     
Indicate the date you would like to cruise?
1st person in group First Name: Last Name: Street Address: City, State, Zip: E-mail Address: Telephone: 2nd person in group First Name: Last Name: Street Address: City, State, Zip: E-mail Address: Telephone: 3rd person in group First Name: Last Name: Street Address: City, State, Zip: E-mail Address: Telephone:

To Pay By Credit Card, You Can Use The Form Below To Order
With Our Secure Server: 

Please Fill In Your Credit Info Below:
Card Number:  Expiration Date:
Card Type:      
Name on Credit Card: 
Street Address On Credit Card: 
City, State, Zip: 

Deposit amount of $200.00 per person will be charged



To Pay by Check, Please Send To:
CLASSIFIED BETTER BUSINESS NET
10619 WEST ATLANTIC BLVD., #311
CORAL SPRINGS, FL. 33071
Or Call Customer Service At:
1-800-222-6266 (800-cbbn.com)