Disneyland Resort Guest Intake Form
Magic Mom Travel LLC
Name
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Email Address
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Phone Number
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Preferred Resort (if any)
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Pixar Place
Grand Californian
Disneyland Hotel
Good Neighbor Resort (please specify)
Would you like to include Vacation Protection Insurance in your quote?
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Yes
No
Do you have a specific dates in mind to travel? If no specific dates, please list the dates closest to when you would like to go for the most accurate quote.
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How many NIGHTS would you like to stay?
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What is your budget for this vacation? (excluding airfare)
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How many adults (age 18+) will be in your party?
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How many children (age 10-17) will be in your party?
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How many children (age 3-9) will be in your party?
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How many children (age infant-2) will be in your party?
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How many Rooms will you be needing?
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If more than one room, please specify which guests will be in each room. For example, room 1- 2 adults, 1 5 year old, room 2- 1 adult, 2 kids ages 6 & 9
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Are there any must have features with your resort? Example, multiple transportation options, king bed, hot tub, kitchenette, multiple rooms, ect.
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How many days worth of tickets would you like?
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Would you like a base ticket or a park hopper to be quoted?
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Base Ticket
Park Hopper
I'd like pricing for both options
Would you like to add on Lightning Lane?
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Yes
No
I'd like pricing for both options
Will you need airport transportation?
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Yes
No
Please note any additional information regarding your family or trip that I may need to be made aware of, in order to help make your trip a successful one.
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Are you currently working with another agent? Please note we all have access to the same pricing, and our company remains ethical integrity by not competing with other travel professionals.
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Yes
No
Are you prepared to place a $200 deposit and secure your trip once your quote is provided?
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Yes
No
How did you hear about Magic Mom Travel?
Submit
Magic Mom Travel is proud to be an Authorized Disney Vacation Planner
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