Walt Disney World Booking Request
My name is Josh and I'm a full service travel agent with Pixie Vacations, My services are 100% complimentary. Once you submit this form I will get right to work creating a detailed vacation quote that meets your specific needs. I look forward to working with you!!
Name
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First Name
Last Name
Email
*
Phone Number
*
How many Adults?
*
How many Children if applicable?
Please list the full legal names of each person in your travel party as they appear on a passport, driver's license, or birth certificate AND their age at the time of travel. If you'd like more than one hotel room, please group everyone by how you'd like them to be broken up
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Please note that this information will only be used if you decide to move forward with a booking after quote is sent.
When would you like to check in?
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Month
-
Day
Year
Date
When would you like to check out?
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Month
-
Day
Year
Date
Are your dates flexible?
Yes
No
Have you visited WDW before?
Yes(Please answer question below)
No
When was your last trip to WDW and how long was your visit?
Hotel Preferences
If you want tickets only you can skip this section
What category hotel do you prefer
Please Select
Value($)
Moderate($$)
Deluxe($$$)
Deluxe Resort Club level or Suite($$$$)
Deluxe Villa Resort($$$$)
Undecided or Unsure
Do you have a specific resort in mind? Let me know
What is important to you during your resort stay?
Tickets
How many days would you like to spend in the parks?
I recommend 3 days at minimum
Would you like any of the following ticket add ons?
Park Hopper
Water Park and Sports Option
Park Hopper Plus
Memory Maker
None
Would you also like to visit Universal during your trip?
Yes
No
Unsure
Would you like to purchase Travel Insurance? (Recommended)
Yes,please include this in my quote
No, I do not want to purchase travel insurance and assume all risks of that decision
What is your budget range?
If unsure type N/A
How flexible is your budget
Stick to it
1
2
3
4
5
6
7
8
9
whatever it takes
10
1 is Stick to it, 10 is whatever it takes
Will you be celebrating anything special during your trip?
Do any of the following options pertain to you?
Disney Visa Rewards Cardholder
Disney+ Subscriber
United States Armed Services(active duty and retired veterans only)
California Resident
Florida Resident
Hawaiian Resident
None
How would you like me to contact you? Note-Email will be the primary point of contact regardless of what is chosen)
*
Phone
Email
Text
Video Meeting (will reach out to set up a time)
Is there anything else you would like me to know?
How did you hear about my services?
Submit
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