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Thank you for contacting
Heidi Sleiman, Magical Moments Vacations
!
Please fill out this f
orm and I will send you a quote for your Walt Disney World Vacation.
First Name
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Last Name
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Date of Birth
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Email
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Street Address
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City
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State
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Zip Code
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Phone
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Have you been to Walt Disney World before?
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If yes, how many times?
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Arrival Date
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Departure Date
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Are your dates flexible?
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How many adults?
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How many children?
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Please list the name of all travelers and list the ages of any children at time of travel.
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Please check the box which best describes your family's budget for hotel and park tickets.
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$2500 or less
$2500 to $3500
$3500 to $4500
$4500 to $5500
$5500 to $6500
$6500 to $7500
$7500 to $8500
$8500 or more
No budget in mind
Other
Other
Which resort type are you interested in staying at?
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On site Walt Disney World Resort *Best option for total Disney immersion, free resort wide transportation, early park entry, close proximity to theme parks*
Off Disney property nearby resort
Off Disney property nearby rental home
Other
Other
If you have a specific Disney Resort Hotel you would like to stay at, please list it here:
If wanting to stay off Disney property, is there a specific hotel you're interested in?
What theme park ticket options are you interested in?
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Base ticket (1 park per day)
Water Park and Sports Ticket (1 park per day, plus enjoy a certain number of visits to a water park or other Walt Disney World sports-related fun.)
Park Hopper ticket (can visit all parks in one day)
Park Hopper Plus ticket (can visit all parks in one day, plus enjoy a certain number of visits to a water park or other Walt Disney World sports-related fun)
Special Event (ie. Mickey's Not So Scary Halloween Party or Mickey's Very Merry Christmas Party)
How many days will you need theme park tickets for?
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Are you interested in the Disney Dining Plan? (available only for WDW Resort Hotel packages)
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Yes
No
Other
Other
If you are interested in the Disney Dining Plan, which plan best suits your needs?
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Disney Quick Service Dining Plan (2 quick service meals, 1 snack, 1 resort refillable mug per person/per night of stay)
Disney Dining Plan (1 table service meal, 1 quick service meal, 1 snack, 1 resort refillable mug per person/per night of stay)
Will you be flying or driving to Walt Disney World?
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Flying
Driving
Not sure
If flying, we recommend you purchase your flight on your own. You will get the best selection direct with an airline and the ability to use airline miles (if applicable) and choose your seats. Would you like help finding the best airfare?
Yes
No
Are you interested in Travel Insurance?
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Yes
No
Maybe
Will you be celebrating anything?
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Yes
No
If yes, please explain.
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Any food allergies in your party?
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Yes
No
If yes, please explain:
Any accommodations needed for a disability?
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Yes
No
If yes, please explain:
Anything else you would like to add that would help me quote your vacation?
When are you looking to book your Walt Disney World vacation?
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I'm ready to book now!
1-3 months
3-6 months
12+months
Just looking right now
Other
Other
Thank you, have a magical day!