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Walt Disney World Quote Request Form
Walt Disney World Quote Request Form
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Your Full Name
Your full legal name to be used for all transactions with the Walt Disney travel Agency and Airlines at time of purchase.
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Postal Address
Your Postal address where you want your travel Documents sent to
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City
*
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Columbia (District of)
Florida
Georgia
Hawaii
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
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Zip Code
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Daytime Phone
*
Evening Phone
*
E-Mail Address
*
When was your last visit to Walt Disney World?
Never
Less than a year ago
1-3 Years ago
3-6 years ago
7-10 years ago
More than 10 years ago
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Where did you stay?
Magical Travel Special Package code
If you have a special code from a friend or our ads please enter it here.
Disney Discount Code/Pin Number
Are you a Walt Disney World Annual Pass holder?
YES
No
Will you be using your Disney VISA Card to purchase your vacation?
YES
No
Arrival Date
...
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Departure Date
...
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Total number of peope in your party
*
Total Adults Traveling
*
Total Children Traveling
*
Names of Adults traveling
List the legal names of all adults traveling in your party including yourself.
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Names and ages of childern traveling
You MUST list the full name and age of each child in your party at time of arrival. This is important for determining the price of your package. YOU WILL NOT RECEIVE A QUOTE IF THE AGES OF THE CHILDREN ARE MISSING!
First Choice of resort
Disney's All Star Movies Resort
Disney's All Star Sports Resort
Disney's All Star Music Resort
Disney's Pop Century Resort
Disney's Caribbean Beach Resort
Disney's Coronado Springs Resort
Disney's Port Orleans French Quarter
Disney's Port Orleans Riverside Resort
Disney's Animal Kingdom Lodge
Disney's Beach Club Resort
Disney's Boardwalk Inn
Disney's Contemporary Resort
Disney's Grand Floridian Resort and Spa
Disney's Polynesian Resort
Disney's Yacht Club Resort
Disney's Beach Club Villas
Disney's BoardWalk Villas
Disney's Fort Wilderness Campground
Disney's Fort Wilderness Resort
Disney's Old Key West Resort
Disney's Wilderness Lodge Villas
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Choose the type of accomodations you would like. Not all room types are available at each resort.
Standard View (Available at all resorts)
Preferred Room Location (All Star Resorts and Caribbean Beach Resorts)
Water View (Available at Moderate and Deluxe resorts)
King Bed (Available at all resorts)
Family Suite (Available at All Star Music only)
Studio (Available Deluxe Villa resorts only)
Concierge Level(Available at Deluxe resorts)
Suite (Available at Deluxe resorts and Coronado Springs)
Villa (Available at Deluxe Villa resorts)
Savanna View (Available at Animal Kingdom resort only)
Deluxe Savanna View (Available at Animal Kingdom resort only)
Cabin (Available at Fort Wilderness Only)
Preferred Campsite (Available at Fort Wilderness Campground)
Full Hook-up Campsite (Available at Fort Wilderness Campground)
Partial Hook-up Campsite (Available at Fort Wilderness Campground)
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Second resort choice
Disney's All Star Movies Resort
Disney's All Star Sports Resort
Disney's All Star Music Resort
Disney's Pop Century Resort
Disney's Caribbean Beach Resort
Disney's Coronado Springs Resort
Disney's Port Orleans French Quarter
Disney's Port Orleans Riverside Resort
Disney's Animal Kingdom Lodge
Disney's Beach Club Resort
Disney's Boardwalk Inn
Disney's Contemporary Resort
Disney's Grand Floridian Resort and Spa
Disney's Polynesian Resort
Disney's Yacht Club Resort
Disney's Beach Club Villas
Disney's BoardWalk Villas
Disney's Fort Wilderness Campground
Disney's Fort Wilderness Resort
Disney's Old Key West Resort
Disney's Wilderness Lodge Villas
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Choose the type of accomodations you would like for you second choice of resorts.
Standard View (Available at all resorts)
Preferred Room Location (All Star Resorts and Caribbean Beach Resorts)
Water View (Available at Moderate and Deluxe resorts)
King Bed (Available at all resorts)
Family Suite (Available at All Star Music only)
Studio (Available Deluxe Villa resorts only)
Concierge Level(Available at Deluxe resorts)
Suite (Available at Deluxe resorts and Coronado Springs)
Villa (Available at Deluxe Villa resorts)
Savanna View (Available at Animal Kingdom resort only)
Deluxe Savanna View (Available at Animal Kingdom resort only)
Cabin (Available at Fort Wilderness Only)
Preferred Campsite (Available at Fort Wilderness Campground)
Full Hook-up Campsite (Available at Fort Wilderness Campground)
Partial Hook-up Campsite (Available at Fort Wilderness Campground)
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Will you require more than 1 room?
Your party size may require more than one room. If you want more than one room or if you think you will need more than one room please list who will be in each room in the comment box below.
YES
No
Will you need a handicapped-accessible room?
YES
No
How many days would like to visit the four main Disney Theme Parks?
Note - If you want options for more than 10 days please select 10 and make a note in the comments box at the end of the form.
3 days
4 days
5 days
6 days
7 days
8 days
9 days
10 days
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Would you like to add the Park Hopper Option to your Disney World tickets?
YES
No
Do you want to add the Waterparks and More option to your tickets?
YES
No
Would you like to add the no expiration option to your tickets?
YES
No
Would you like to add the Counter Service Dining plan? (new for 2009)
YES
No
Would you like to add the Basic Dining Package?
YES
No
Would you like to add the Deluxe Dining Package?
YES
No
Would you like to upgrade your Dining Package with a Wine add-on Package?
YES
No
Would you like to upgrade to the Premium Package?
YES
No
Would you like to upgrade to the Platinum Package?
YES
No
Do you need air travel arrangements?
YES
No
If so, from what city/Airport
What time of day would you like to arrive in Orlando
What time of day would you like to depart Orlando
What is your Preferred Airline?
Would you be willing to make a stop or connection?
YES
No
What type of airport/hotel transfers would you like
None
Disney's FREE Magical Express
Shuttle Van
Private Shuttle Van
Private Towncar
Private Limousine
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Would you like a car rental
YES
No
If you would like a car rental please choose the type
Compact
Intermediate
Full-Size
Minivan
Mid-Size SUV
Full-Size SUV
Would you like Trip Cancellation and Interruption Insurance?
YES
No
How did you find out about us?
Spring Lake Newsletter
Rodgers Forge Newsletter
Spring Lake Swim Club
NBAC Program
MiceChat
A friend referred me (please let us know below)
Google Search
Other - Please let us know below
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Regarding this quote request
I'm getting an idea of how much a trip to Disney World will cost.
Definitely plan on booking when I find the right price
Already have a reservation, just looking to see if I can find a better price.
I need more help choosing dates and options, please call me.
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Pleae add any additional requests and Information to help us serve you better
PLEASE let us know if your travel plans are flexible, any special occasions you will be celebrating while on your vacation, and any special requests or the breakdown of room assignments and number of rooms for large groups. We will automatically include any specials or discounts for the time of your travel if they are available.
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