WDW Vacation Quote Form V1.1

REQUEST A QUOTE FOR YOUR

WALT DISNEY WORLD® VACATION
Please feel free to fill out the following form and one of our Travel Advisors will get back to you shortly with a price quote for your magical vacation! If you would like an immediate quote, you can call us at 281-380-3437 or email us at info@whiteglovedestinations.com
About You:
Your Name:*

First NameLast Name
Daytime Phone:

Area CodePhone Number
Evening Phone:

Area CodePhone Number
E-mail:*
Confirm Email:*
Preferred Method of Contact:*
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About Your Vacation:
When would you like your vacation to begin?*

MonthDayYear
Number of Nights*
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TRAVELERS INFORMATION:
Number of Adults (18 year and over):*
Number of Junors (10-17 years): *
Number of Children (3-9 years):*
Number of Infants (0-2 years):*
Are you Active or Retired Military?

YESNO
Are you a Canadian Resident?

YESNO
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WALT DISNEY WORLD® RESORT PREFERENCES:
First Resort Preference:*
Second Resort Preference: *
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TYPE OF VACATION PACKAGE:
Package Type: *
Room Type/View:

StandardWater ViewPreferred LocationConciergeOther
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DISNEY'S MAGIC YOUR WAY PARK TICKETS:
Disney Ticket Selection-Choose Number of Days you wish to visit the theme parks:*
Add Park Hopper® Option (enjoy more than one theme park per day)?*

YesNo
Add Waterparks, Fun and More Option (includes extra visits to Disney Waterparks, DisneyQuest®, Golf and ESPN Wide World of Sports)?*

YesNo
Add non-refundable Trip Insurance?*

YesNo
Do you have a Disney Visa?*

YesNo
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How Did You Hear About Us?
Please Choose One:*
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Your Preferred Agent:
Please Choose One:*
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Additional Information:
Do you have a budget for this vacation***(room, tickets, meals)?
***As agents specializing in Walt Disney World vacations, we know what resort and packages will fit every budget. We are happy to quote the package you requested and if the price does not match your budget, we will be happy to make another suggestion that will fit your vacation goals.
Special Requests, Comments or Questions:
Should be Empty:

About You:

About Your Vacation:

How Did You Hear About Us?

Your Preferred Agent:

Additional Information: