Personalized Vacation Quote Request

1
Primary Contact Name* This field is required.Please enter the information for the primary contact.
First Name
Last Name
2
Email Address* This field is required.Please enter your email address.
example@example.com
3
Phone Number* This field is required.
Area Code
Phone Number
4
Mailing AddressPlease provide your address in order to expedite the booking process.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
5
How did you hear about Magical Moments Vacations by Brandi?Please let me know how you found out about me so your referral source can get their special bonus!
6
What vacation destination are you interested in?* This field is required.
Select
Select
Walt Disney World Resort (Florida)
Disneyland Resort (California)
Disney Cruise
Aulani (Hawaii)
Adventures by Disney
Universal Orlando Resort
Universal Studios Hollywood
Sandals
Beaches
Cruise
Other
7
Please describe what are you looking for?* This field is required.Please include any specific preferences: Resort/Hotel, Ticket Options (Parks/Entertainment, Number of Days, Ticket Type), VIP Tours, Cruise Line/Ship, Destinations, Port, etc.
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8
Beginning Travel Date:* This field is required.
Date
Year
Month
Day
9
Ending Travel Date:* This field is required.
Date
Year
Month
Day
10
Are these dates flexible?* This field is required.
YESNO
11
Do you require Air Transportation?* This field is required.
YESNO
12
Departing Airport PreferenceIf Air Travel is not required, please skip.
13
What is your vacation budget range?* This field is required.
14
Is your budget flexible?* This field is required.
YESNO
15
Would you like Travel Insurance included?* This field is required.
16
Please list all party members (FULL Legal Names & Date of Birth)* This field is required.IMPORTANT: Please double check for accuracy; spelling and DOB must match Government Issued Identification and/or Passports (where applicable). This information will be used to make your reservation. Errors may result in supplier penalties or inability to travel.
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17
Will you be celebrating anything special? If yes - What you will be celebrating? What date?
18
What types of activities are most important to you during your trip?
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Ok
19
Additional Comments/Questions/Concerns:
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20
What is your preferred method of communication?* This field is required.
Phone
Email
21
Would you like to join my email list for updates?* This field is required.Updates would include special promotions, monthly newsletter, etc.
YESNO
Should be Empty:

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