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Contact Information:
Information given will never be shared with any third parties and will be kept strictly confidential and used only in finding a great rate for your family.
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First Name:
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Last Name:
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Address:
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City:
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State:
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Zip Code:
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Country:
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Confirm E-Mail:
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E-Mail Address:
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Evening Phone:
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Day Phone:
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Preferred method of contact:
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E-Mail
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Day Time Phone
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Evening Phone
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Travel Dates & Resort Choice:
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Note: Only certain Resorts accommodate more than 4 guests(ages 3-over) in a room (under age 3 can be put in a crib)
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To see which resorts will accommodate your family, please click HERE.
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Arrival Date:
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Departure Date:
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No
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Yes
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Dates Flexible?
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First Resort Choice:
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Second Resort Choice:
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Preferred Room Location
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Standard Room Location
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Water/Pool View Room
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Concierge Service
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Specific Room or Location Desired?
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Package and Ticket Choices:
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Package Choice:
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(For more info on tickets, visit our PARKS Page.)
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Length of Ticket:
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Park Hopping Option
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Options you would like to
add to your Tickets:
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Water Park Fun & More Options
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No Expiration Option
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Group Information:
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In order to place a temporary courtesy hold on your room, Disney requires the first and last name of each guest in your party (including children).
This is especially important when specials are offered or when traveling during busy times. Rooms can not be held if you are within 45 days of your
travel window, and rooms may not be available.
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Number of Adults in Party:
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Number of Children in Party:
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Full Names of Adults in Party:
(if traveling in large group with more than
one room, please specify how many adults
and/or children will be in each room)
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Please include AGE of each child so that we can get you an accurate quote on ticket prices and find a room(s) that accommodate your party.
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Names and ages of each
child in your party:
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Number of Rooms Needed:
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Optional Transportation :
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Please Note: Air quoted is best available through the Walt Disney Travel Company. Many times it is cheaper to purchase airfare
directly with the air carrier, separate from your package. For tips on getting the best fare on air Click Here .
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Add Air to Package?
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Yes
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No
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City of Departure:
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Airport Transfers:
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Disney's Magical Express (no charge)
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Town Car
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Van Transfer
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Alamo Car Rental:
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None
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Compact
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Midsize
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Fullsize
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Mini Van
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Are you a Member of any of the Following:
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Disney Visa Cardholder ?
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Yes
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No
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Disney Annual Passholder?
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Yes
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No
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Are you a AAA member?.
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Yes
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No
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For Room Only Reservations
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No
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Yes
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Is this your family's first visit?
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Can we send you e-mail updates
on special Disney offers?
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Yes
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No
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Please list any discount codes, special celebrations,
requests or questions you may have:
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Would your children (ages 3-12) prefer an Autograph Book
or Disney Trading Pin in their Pixiedust Travel Gift Pack?
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Autograph Book
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Trading Pin
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For Packages of 3 or more nights with 3 or more day tickets
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Would you like Disney's
Vacation Protection Plan:
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Yes
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No
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Review Disney's Cancellation Policy
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Requests will be answered as quickly as possible.
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Within 1-2 business days (Monday - Friday 8am-6pm CST)
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Thanks so much for your request! Please be sure and check your e-mail's spam settings to
be sure that your family's quote gets into your inbox. Have a magical Disney day!
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Disney artwork, logos, attraction descriptions, and properties: ©Disney
Disney Cruise Line® - Ship Registry: The Bahamas CST# 1022229-50
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