Walt Disney World Resort Guest Intake Form
Magic Mom Travel LLC
Name
*
Email Address
*
Phone Number
*
Preferred Resort and/or Location (if any)
*
Pop Century- Value
All Star Sports- Value
All Star Movies- Value
All Star Music- Value
Art of Animation- Value
Port Orleans Riverside- Moderate
Port Orleans French Quarter- Moderate
Caribbean Beach- Moderate
Coronado Springs/ Gran Destino Tower- Moderate
Contemporary Resort- Deluxe
Polynesian Village & Bungalows - Deluxe
Riviera Resort- Deluxe
Grand Floridan- Deluxe
Wilderness Lodge- Deluxe
Animal Kingdom Lodge- Deluxe
Boardwalk Inn- Deluxe
Beach Club- Deluxe
Yacht Club- Deluxe
Saratoga Springs- Deluxe
Old Key West- Deluxe
The Cabins at Fort Wilderness Resort & Campground
Fort Wilderness Resort & Campground
Would you like to include Vacation Protection Insurance in your quote?
*
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.
*
How many NIGHTS would you like to stay?
*
What is your budget for this vacation? (excluding airfare)
*
How many adults (age 18+) will be in your party?
*
How many children (age 10-17) will be in your party?
*
How many children (age 3-9) will be in your party?
*
How many children (age infant-2) will be in your party?
*
How many Rooms will you be needing?
*
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
*
Are there any must have features with your resort? Example, multiple transportation options, king bed, hot tub, kitchenette, multiple rooms, ect.
*
How many days worth of tickets would you like?
*
Would you like a base ticket or a park hopper to be quoted?
*
Base Ticket
Park Hopper
I'd like pricing for both options
Are you interested in Dining Plans at all?
*
Quick Service Dining Plan- (2 casual quick service meals & 2 snacks per night of your stay and a refillable mug for the resort)
Disney Dining Plan- (1 table service meal, 1 casual quick service meal, & 2 snacks per night of your stay and a refillable mug for the resort)
No Dining Plans
Are you interested in the Memory Maker photo package?
*
Yes
No
Will you need airport transportation?
*
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.
*
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.
*
Yes
No
Are you prepared to place a $200 deposit and secure your trip once your quote is provided?
*
Yes
No
How did you hear about Magic Mom Travel?
Submit
Should be Empty: