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Full Name
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Your answer
Email Address
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Your answer
Phone Number
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Your answer
How should we contact you to schedule a call?
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Text
Email
Call me anytime
Do you have a preferred agent?
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Any
Amelia Westfall
Brandi Pearson
Jordan Green
Megan Kastner
Natalie Dunn
Sara Hisle
Sydney Perilloux
What state do you reside in? We currently do not service residents of Hawaii, California, Washington, or Florida.
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Your answer
What destination are you interested in?
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Walt Disney World
Disneyland
Aulani
Disney Cruise Line
Adventure's by Disney
Universal Studios Florida
Universal Studios California
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Are you applicable for a military discount?
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Yes
No
What budget is most comfortable for you?
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under $2,000
$2,000-$4,000
$4,000-$6,000
$6,000-$8,000
$10,000+
Please list the names and date of birth for all trip attendees
Ex. Mickey Mouse 11/18/1928
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Your answer
What check-in day would you prefer?
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Your answer
What check-out day would you prefer?
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MM
/
DD
/
YYYY
If visiting a destination with theme parks, please tell us how many days you would like to spend at the parks.
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Your answer
Will you require transportation from the airport?
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Yes
No
What aspects of Disney are most important to you and your group
?
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We want a room we can hang out, spend time, and relax in together.
We are looking for affordable room options. We plan to spend most of our time in the parks.
We want to stay somewhere with an awesome pool!
We want multiple dining options available at our resort/lodging.
We are foodies that want to explore unique culinary experiences (exotic/international). ($$)
We want to eat with our favorite Disney Characters. ($$$)
We are looking for more budget-friendly dining options. ($)
We love intense, thrilling rides (Potential Height Requirements).
We want to ride attractions that are suitable for the entire family.
We have people in our group that love roller coasters.
We are comfortable with spinning rides.
We want to experience any and all rides Disney has to offer.
We want to see shows with Disney Princesses.
We want to see shows about adventure & history.
We want to see shows that make us laugh.
We LOVE Star Wars!
We have some huge Pixar fans in our group. (Cars/Toy Story/Finding Nemo)
We love meeting Disney characters.
We have Disney Junior fans in our group.
Our group doesn't have any interest in meeting/seeing any characters.
We want a break from the parks and to do a pool day or a day at the water parks.
We want memorable and unique experiences with a WOW factor. ($$$)
We need a quiet day away from the parks.
Required
Are there any "Must Do"s for your trip? If so, please number them.
Your answer
Would you like to add travel protection to your trip?
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Yes
I decline travel protection for my trip
Are there any final notes that you'd like your agent to know? (Ex: exact budget amount, a memory from a previous visit that you want to recreate, a ride you really want to go on but couldn't before, someone's birthday, etc..)
Your answer
How did you hear about us?
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