Vacation Quote Request Form
Jennifer Dosier j.dosier@magicalvacationplanner.com
Passenger Contact Info
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Prefix
First Name
Middle Name
Last Name
Best Contact Number
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-
Area Code
Phone Number
Email
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example@example.com
Verify Email
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example@example.com
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Departure Date
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Month
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Day
Year
Date
Return Date
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Month
-
Day
Year
Date
Total Number of Adults
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Full Name of Each Adult & Birthdate
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Total Number of Children
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Full Name of Each Child & Birthdate
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Child's Age at the Time of Travel
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Ages of Children at Time of Travel
Type of Vacation
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Walt Disney World Orlando, Florida
Disneyland Anaheim, California
Universal Orlando, Florida
Adventures by Disney
All-Inclusive
Cruise
Other
Please specify your preferred vacation if you chose other:
If you are going on a cruise, what type of room do you prefer?
Inside Stateroom
Oceanview Room with Window
Stateroom with a Balcony
Suite
Special Occasion: (Birthday, Honeymoon, Anniversary)
Preferred Hotel/Resort
If staying at Disney's Fort Wilderness at a campsite, what is the length of the pull behind or motorhome?
For Theme Park Vacations Only. Would you like park tickets to be included?
Yes
No
For Theme Park Vacations Only. If yes, what type of park ticket?
Base Ticket- 1 park a day
Park Hopper- Visit multiple parks in a day
For Theme Park Vacations Only. How many days would you like your ticket to be?
(Walt Disney World Vacations ONLY) Would you like to add the Disney Dining Plan to your package?
Yes
No
If you would like the dining plan, which one do you prefer?
Quick Service- 2 Quick service meals, 1 snack, refillable mug
Dining Plan-1 Table service meal, 1 quick service meal, 1 snack, & refillable mug
For Disney Park Vacations Only. Would you like the Memory Maker? Pictures taken in the parks and on the attractions.
Yes
No
Budget:
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Budget
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$3,000+
$5,000+
$7,000+
$9,000+
Would you like meals to be included?
If yes, what type of dining package would you like to include?
Quick Service
Dining Plan
Deluxe Dining Plan
What is the price range you would like to stay in?
Include Flight
YES
NO
Flight Departure Airport (All Inclusive Resort Destinations ONLY)
Special Rates: (Active/Retired Military, Police, Fire Fighter)
Would you like to add Travel Insurance?
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Yes- I Highly Recommend
No
Any other special requests or information you would like to share?
How did you hear about my services?
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SUBMIT
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