* are
required fields
Note:
We cannot
apply dining to a room only or offsite reservation. Dining is attached
to a Disney Travel Company package reservation, not ticket media.
First
Name * :
Last
Name* :
Address:
Address
City
State/Province
Postal
Code *
Country
Email
Address*:
**Note
to AOL, Earthlink and Hotmail clients: Due to the filters utilized
by these email servers, if you have another email
please use
it or note the other email address here in the confirmation field
Verify
Email*
Daytime
Phone*
Evening
Phone*
Do you belong to AAA?
Select Yes No
Enter AAA Number
and Expiration
Magical
Journeys can
apply AAA discounts to room only reservations.
AAA Package
reservations cannot be booked with Magical Journeys
Annual
Pass?
Select
One YES I am currently an Annual Passholder NO
I am not an Annual Passholder Maybe I am
thinking of purchasing an Annual Pass
Disney
Visa
Select
One Yes-I
have a Disney Visa No-I do not have a
Disney Visa
Miltary
Member
Select If
Applicable Yes-Active
Duty Yes-Retired
Have
you recieved a PIN or promotional offer from Disney?
Choose One Yes- I have received
an offer No- still hoping for a
PIN offer
PIN #
Travel Dates:
Check
In *:
Month January February March April May June July August September October November December
Day 1 2 3 4 5 6
7 8 9 10 11 12 13<
/option> 14 15 16 17 18 19 2
0 21 22 23 24 25 26 27 28 29 30 31
Year 2012 2013 2014 2015
*required
Check
Out* :
Month January February March April May June July August September October November December
Day 1 2 3 4 5 6
7 8 9 10 11 12 13<
/option> 14 15 16 17 18 19 2
0 21 22 23 24 25 26 27 28 29 30 31
Year 2012 2013 2014 2015
*required
Number
of Nights*
Select 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
Are
Dates Flexible? :
YesOO
No
Vacation
Wishes
Package
Type*
Description
Insurance
Select Undecided Room-only
Reservation Magic Your Way Package Magic
Your Way Quick Service Dining Package Magic
Your Way Basic Dining Package Magic Your
Way Deluxe Dining Package Magic Your Way
Premium Package Magic Your Way Platinum
Package
Please
note, your quote will be for room only if you do not specifically
request a package. Your agent
may suggest other options to lower the price of your vacation.)
If booking a Package do you wish
Travel Protection?
Choose
One Yes No
Ticket
Length*
Choose
Ticket Room-only Reservation Base
Ticket-1 day Base Ticket-2 day Base
Ticket-3 day Base Ticket-4 day Base
Ticket-5 day Base Ticket-6 day Base
Ticket-7 day Base Ticket-8 day Base
Ticket-9 day Base Ticket-10 day
Ticket
Options
Description
No
Options-I
plan on visiting only one park park per day and using all days within
14 days
Park Hopping-I would like to visit more than oneTheme Park per day
Water
Park Fun & More-I
would like to visit Disney areas other than theme parks
No
Expiration-I would like to
save leftover days for future trips
Resort Wishes
First
Choice *
Choose Your Resort Disney's
Art of Animation Resort Disney's
All
Star Movies
Disney's
All
Star Music
Disney's
All
Star Sports
Disney's
Pop
Century Disney's
Caribbean
Beach Resort Disney's
Coronado
Springs
Resort Disney's
Port
Orleans Riverside Resort Disney's
Port
Orleans
French Quarter Disney's
Animal
Kingdom Lodge Disney's
Wilderness
Lodge
Disney's
Contemporary
Resort Disney's
BoardWalk
Inn
Disney's
Polynesian
Resort Disney's
Beach
Club Resort Disney's
Yacht
Club Resort Disney's
Grand
Floridian
Resort Disney's
Fort
Wilderness
Campsites Disney's
Fort
Wilderness
Resort Disney's
Beach
Club Villas Disney's
BoardWalk
Villas
Disney's
Old
Key West Resort Disney's
Saratoga
Springs
Resort
The
Villas at Disney's Wilderness Lodge Disney's
Animal
Kingdom
Lodge Villas Disney's
Bay Lake Towers
*required
Choose
Your View
Choose
Your View
Second
Choice*
Choose Your Resort Disney's
Art of Animation Resort Disney's
All
Star Movies
Disney's
All
Star Music
Disney's
All
Star Sports
Disney's
Pop
Century Disney's
Caribbean
Beach Resort Disney's
Coronado
Springs
Resort Disney's
Port
Orleans Riverside Resort Disney's
Port
Orleans
French Quarter Disney's
Animal
Kingdom Lodge Disney's
Wilderness
Lodge
Disney's
Contemporary
Resort Disney's
BoardWalk
Inn
Disney's
Polynesian Resort Disney's
Beach
Club Resort Disney's
Yacht Club Resort Disney's
Grand
Floridian
Resort Disney's
Fort
Wilderness
Campsites Disney's
Fort
Wilderness
Resort Disney's
Beach
Club Villas Disney's
BoardWalk
Villas
Disney's
Old
Key West Resort Disney's
Saratoga
Springs
Resort
The
Villas at Disney's Wilderness Lodge Disney's
Animal
Kingdom
Lodge Villas Disney's
Bay Lake Towers
*required
Choose
Your View
Choose
Your View
Number
Of Rooms*:
Number
of Adults*:
Number
of Children*:
(enter 0 if none)
REQUIRED Adult
Names -Disney now requires
the legal
names of all traveling as it appears on their photo ID (Drivers
License, Passport). Forms without
complete information will be discarded. Use note box at bottom of form for additional
names if needed.
REQUIRED Children's Names - -Disney now
requires the legal names of all
travelers as it appears on their ID (Passport, Birth Certificate) and
the children's age s at time of travel.
Ages of children are needed for accurate
pricing. F orms without complete information will be
discarded.
Use note box at bottom of
form for
additional names if needed.
Magical
Express
Select One Yes No
(Please supply flight
information to your
assigned agent)
Are you
a Previous Client?
No Yes
Preferred/Prior Agent was:
Where
did you find us?
Select One Intercot.com Cooking with Mickey Disney On A Dime Family Circle Magazine IOACentral.com JediMousekeeter Lansing
School District Magical
Blogorail Meet the Magic Momprenuers Online Parents Magazine Passporter Perfect Wedding Planner Plan A Magical Vacation Pursuing the Magic Radio Disney Retail Me Not Scouting with the Mouse Sorcerer
Radio Suite Disney Tagrel.com The DIS The Mouse on Wheels Tikiman
Pages WDW
After Dark WDW Daily News WDW Newsletter WDW
Travel Show WeJustGotBack.com Woman's Day Magazine Lansing
School District Other Guidebook Other Website Friend/Relative Search Engine
If a Friend referred please list
their name here so
we can thank them!
Is
this your first trip?
Select No Yes
Do you Currently
Have a Disney Resort
Reservation?
Select One Yes-
I currently have a reservation Yes- I would
like to transfer my booking to Magical Journeys No-
I do not have a reservation
Resort?
What Will You
Celebrate?.
Select
If Applicable Anniversary Birthday Engagement First
Trip Graduation Personal
Triumph Wedding
Actual Date of Celebration:
Room Requests/ Additional Comments/ :
REQUIRED
:
I
have checked and made sure all name and
required fields are accurate. I am aware that requests without complete
information or new client requests of less than 3 nights will
be discarded I
am also aware that Magical Journeys reserves the right to discard quote
forms from habitual pricers and they will not receive a reply.
COMPLETE &
ACCURATE INFORMATION IS REQUIRED FOR
COMPLETE AND ACCURATE PRICING.
Please
remember we do not charge fees. We make our
living from
commission paid by the various suppliers and cruise lines. The agent
that will be working for you will get no compensation for their time if
you book elsewhere or on your own after they have found what you are
looking for. If we are able to provide you with the lowest price
possible, then we would appreciate being allowed to continue working
for you by booking your vacation. We respectfully request that you do
not expect an agent to dedicate time finding the best deals for you and
then book elsewhere or on your own .
Thank you.