Answer these questions and lets get planning!
Renee Berg 812-630-8611
Name (main traveler)
First Name
Last Name
Birthdate
-
Month
-
Day
Year
Date
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Additional Traveler Name(s) and Birthdate(s) age(s) at time of travel on children
Time of Year for Travel
Start Date
End Date
Are you celebrating anything on this trip?
Hotel Type
Deluxe Villa $$$$
Villa $$$
Moderate $$
Value$
Number of Rooms
Handicap Accessible Room
YES
NO
Room Needs
Pack n Play
Bed Rails
Pool View
Roll Away Bed
Other
Retired, Active or 100% Disabled Military with appropriate Military ID
YES
NO
What Theme Parks Would You Like to Visit
Magic Kingdom
Hollywood Studios
Epcot
Animal Kingdon
Blizzard Beach
Typhoon Lagoon
Number of Days of Tickets for Parks
Park Hopper
YES
NO
Don't Know
Other
Memory Maker for approximate $169
YES
NO
Don't Know
Other
Would you like Disney travel protection for approximately $177
YES
NO
Don't Know
Other
Dining Plan
Disney Quick-Service Dining Plan 2-Quick-Service Meals(No Table-Service Meals) 1 Snack/Nonalcoholic Drink 1 Resort-Refillable Drink Mug Per Person**No Special Dining Experiences
Disney Dining Plan 1 Table-Service Meal 1-Quick-Service Meal 1 Snack/Nonalcoholic Drink 1 Resort-Refillable Drink Mug Per Person** Plus, redeem your meals for special dining experiences, including Character Dining
No dining plan
Do you have the Disney Visa Card
Yes
Are you a Disney+ subscriber
Yes
I understand that Renee Berg does not book flights.
YES
NO
Are you flying or driving?
Please Select
flying
driving
Will you need transportation to pick you up at the airport and take you to hotel?
YES
NO
and back to the airport
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