Vacation Quote Request Form
Lindsay Fleisher l.fleisher@magicalvacationplanner.com
Lets Plan Your Dream Vacation!
For a free no-obligation quote, please fill out as much information below as possible. I will get back to you within 1 business day regarding your request. If you need an immediate quote or if this form is overwhelming and don't know where to start, you can contact me directly by email at l.fleisher@magicalvacationplanner.com, or call/text 501-416-3913. This form is best viewed on a tablet or computer.
Lead Guest Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Do you have specific dates in mind?
*
Yes
No
What time of year are you considering?
*
Spring
Summer
Fall
Winter
I'm not sure and need suggestions!
Arrival Date
*
-
Month
-
Day
Year
Date
Return Date
*
-
Month
-
Day
Year
Date
Number of Adults Traveling (18+)
*
Total number of children and ages (at time of travel)
*
Ex. 3 Kids (17 yrs, 10 yrs, 5 yrs)
Do you need multiple rooms?
*
Yes
No
How many adults/children are in each room?
*
Ex. Room 1 has 2 adults, 1 child age 5; Room 2 has 1 adult, 2 children ages 5 & 9
Any Accessible Needs? (Medical, Physical, etc)
Yes
No
Other
Please list guest name(s) and type of accessible needs that are required for travel.
Any Special Occasion? (Birthday, Anniversary, Honeymoon, Destination Wedding, etc)
Estimated Budget
*
Destination
*
DisneyWorld - Orlando, FL
Disneyland - Anaheim, CA
Cruise
All-Inclusive Resort
Universal Studios - Orlando, FL
Universal Studios Hollywood - LA, CA
Other
Do you plan to fly or drive?
Drive
Fly
Resort Categories of Interest (select all that apply)
*
Disney's Value Resorts
Disney's Moderate Resorts
Disney's Deluxe & Villa Resorts
Disney's Fort Wilderness Campground Resort
I'm not sure and need suggestions!
Any Specific Resort(s) You're Interested In
Number of Park Days Tickets
*
Please Select
2
3
4
5
6
7
8
9
10
No Tickets Needed
Ticket Type
*
Please Select
Base Ticket (1 park per day)
Park Hopper
Water Park & Sports Option
Park Hopper w/ Water Park & Sports Option
No Tickets Needed
Resorts of Interest (select all that apply)
*
Disney's Grand Californian Hotel & Spa
Disneyland Hotel
Disney's Paradise Pier Hotel
A Disney Good-Neighbor Hotel (Off Property)
I'm not sure and need suggestions!
Number of Park Days
*
Please Select
2
3
4
5
No Ticket Needed
Ticket Type
*
Please Select
Base (1 park per day)
Park Hopper
No Tickets Needed
Cruiseline (select all that apply)
*
Disney
Royal Caribbean
Carnival
Virgin Voyages
Norwegian
Princess
Celebrity
I'm not sure and need suggestions!
Other
Cruise Destination/Itinerary
Ex. Caribbean, Alaska, Mediteranean, etc.
Cabin Type (select all that apply)
*
Inside
Oceanview
Balcony
Suite
Departure Port
Destinations of Interest (select all that apply)
*
Mexico
Jamaica
Dominican Republic
I'm not sure and need suggestions!
Other
Resort Brands of Interest (select all that apply)
*
Sandals
Am Resorts - (Secrets, Dreams, Breathless, Sunscape, etc)
RIU
I'm not sure and need suggestions!
Other
Resorts of Interest (select all that apply)
*
Universal's Endless Summer Resort - Dockside
Universal's Endless Summer Resort - Surfside
Universal's Cabana Bay Beach Resort
Universal's Adventura Hotel
Loews Sapphire Falls Resort
Loews Royal Pacific Resort (Unlimited Express Included)
Hard Rock Hotel (Unlimited Express Included)
Loews Portofino Bay Hotel (Unlimited Express Included)
Off-Property Partner Hotel
I'm not sure and need suggestions!
Number of Park Days
*
Please Select
1
2
3
4
5
No Tickets Needed
Ticket Type - Number of Parks
*
Please Select
2-Park (Universal Studios & Islands of Adventure
3-Park(Universal Studios, Islands of Adventure, & Volcano Bay)
No Tickets Needed
Ticket Type - Base or Park-to-Park
*
Please Select
Base (1 park per day)
Park-to-Park (required to ride Hogwarts Express)
No Tickets Needed
Do you want a quote for travel insurance?
*
Yes
No
Please provide the DOB for all Travelers
*
You may be eligible for additional discounts or promotions. Select any that apply
FL Resident
CA Resident
Military
Passholder
Disney Visa Cardholder
Disney+ Subscriber
Special Requests/ Instructions
Submit
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