Booking Information Form

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Please fill out all fields for your booking to be processed.

Email *

Phone Number *

Please list full LEGAL Names and Dates of Birth for ALL Travelers *Names must match PASSPORT (if traveling internationally)* *Names must match Government ID used for flying if traveling within the U.S.* *

If booking flights - please list any reward numbers and the passenger with whom they are associated (i.e. Delta Skymiles, United Mileage Plus, AA Advantage, etc.)

If you have other applicable rewards numbers, Global Entry or Pre-Check information, or any other loyalty program identifiers, please list them below.

If renting a vehicle, please list the name and birthdate of the driver.

If booking Disney tickets or a package, please list your My Disney Experience Account login and password if you would like me to link your tickets/package and make your park pass reservations for you. *if you don't have an MDE account, please let me know here and I will create it for you*

Are you celebrating anything special on this trip? (first visit, birthday, anniversary, honeymoon, personal achievement, etc.)?

Are you choosing to include insurance on your trip? *

I am declining insurance

I would like to add insurance (it is already on my quote)

I would like to add insurance, please provide me a quote with insurance before processing my payment

N/A I am just making a payment (my trip is already booked)

Payment Information

Notes - Please list here any notes about the booking you are making including which resort, package, or other items you have chosen.

I have read and agree to all applicable terms, conditions, cancellation policies, and entry requirements for the destination I am booking. (This includes vaccination requirements for cruises, covid-testing and vaccination requirements for certain international destinations, and passport requirements). *

Agree

Type of Credit Card (Visa, Mastercard, etc.)

Name on the credit card

Credit Card Number

Expiration Date mm/yy

Security Code

Billing Address

If you are not paying your trip in full, would you like me to keep this payment method on file for future payments?

Yes

No, I will submit my card information each time I wish to make a payment

Clear selection

Authorization

I would like the above card processed for the following amount. *Please use "other" if you are making payments on your trip and indicate how much you want to pay*

Total trip amount

Deposit ONLY

Other:

Clear selection

I authorize Mallory Dumond - Travelmation to charge the card provided. Please type your full name in the space below to authorize payment.

Thank you!

A copy of your responses will be emailed to the address you provided.

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