Walt Disney World

Name*

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Email*

Phone

Provide State of Residency*

Preferred Method of Contact*

I request to work with the following Time Together Vacations Agent*

How did you hear about Time Together Vacations?*

Referred by

Vacation Details

Tell us when, and for how long, you would like to visit the Walt Disney World Resort.

Projected Arrival Date*

Number of Nights*

Are your travel dates flexible?*

Yes
No

Are you or is someone in your party.....

an Annual Passholder
a Disney Rewards Visa Cardholder
a Florida Resident
Active Military

Guest Information

Please provide full names for all guests, and ages for children under 18.

Number of Adults*

Number of Children (under 18)*

Adult Guest 1*

First Last

Adult Guest 2

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Adult Guest 3

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Adult Guest 4

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Adult Guest 5

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Adult Guest 6

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Adult Guest 7

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Adult Guest 8

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Adult Guest 9

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Adult Guest 10

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Adult Guest 11

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Adult Guest 12

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Child Guest 1

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Age of Child Guest 1 on arrival day

Child Guest 2

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Age of Child Guest 2 on arrival day

Child Guest 3

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Age of Child Guest 3 on arrival day

Child Guest 4

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Age of Child Guest 4 on arrival day

Child Guest 5

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Age of Child Guest 5 on arrival day

Child Guest 6

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Age of Child Guest 6 on arrival day

Child Guest 7

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Age of Child Guest 7 on arrival day

Child Guest 8

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Age of Child Guest 8 on arrival day

Child Guest 9

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Age of Child Guest 9 on arrival day

Child Guest 10

Prefix First Last Suffix

Age of Child Guest 10 on arrival day

Child Guest 11

Prefix First Last Suffix

Age of Child Guest 11 on arrival day

Child Guest 12

Prefix First Last Suffix

Age of Child Guest 12 on arrival day

Resort

Do you have a particular Disney resort in mind for your vacation?*

Primary Resort Choice

Secondary Resort Choice

Number of Rooms Required:*

Please enter a number from 1 to 10.

Please check all that apply:

Theme Park Tickets

Disney has created the Magic Your Way ticket, designed so you choose the options that will best fit your needs.

Number of Days*

Optional ticket add-ons

Park Hopper
Park Hopper Plus

Disney Dining Package Options

Disney Dining packages are available to guests age 3 and up. Guests under the age of 3 are welcome to share with others, order from the menu, or have their own plate at any buffet.

Which dining plans might best suit your family's vacation needs?*

No Dining
Quick-Service Dining Plan: 2 counter-service meals and 2 snack per person per night of stay, plus a resort-only refillable drink mug.
Disney Dining Plan: 1 counter-service meal, 1 table-service meal, and 2 snack per person per night of stay, plus a resort-only refillable drink mug.
Deluxe Dining Plan: 3 meal credits per day (your choice of how to use them) plus 2 snacks per person per night of stay, plus a resort-only refillable drink mug.
Premium Dining Plan: 3 meal credits per day (your choice of how to use them) plus 2 snacks per person per night of stay. Plus - preferred fireworks viewing, unlimited use of recreation (such as golf & watersports), unlimited admission to select tours, unlimited use of children's activity centers (evening child care), and tickets to La Nouba by Cirque du Soleil.
Platinum Dining Plan - for Deluxe Resort/Deluxe Villa Resort guests only: Everything in the Premium package plus reserved seating for Fantasmic!, fireworks cruise, spa treatment, Richard Petty Ride-Along Experience, and a Disney PhotoPass CD.

Vacation Insurance

Vacation insurance covers you and your family for certain unexpected circumstances. This vacation insurance plan continues to offer great benefits covering many emergency and unexpected situations prior to and during your vacation. Children in the party are covered at no charge with the purchase of insurance for all adults in their room.

Yes, I wish to purchase vacation insurance.
No, I do not want vacation insurance.

Vacation Hold

Walt Disney World allows a 3 day courtesy hold on a reservation. This will secure your resort package while you make your final decision. To gaurantee your Walt Disney World package, the deposit amount quoted to you will need to paid by the end of the 7th day. A courtesy hold is best for times when popular discounts are out, limited availability at resorts and during peak season. Do you give permission to have a 7 day courtesy hold put on a Disney World Vacation Package for you if need be during the quoting process? (Full names of everyone traveling with you is needed for a 3 day courtesy hold. Please make sure all names are filled out above)

Yes
No

Planning Questions

To help me put together personalized package options specific to your family's vacation needs, answering the following questions will guide me when making recommendations for your family's Disney World dream vacation.

Why did you pick Walt Disney World as your family's vacation destination?

What resort amenities are important to your accommodations?

Is proximity to the theme parks a priority for your resort location?

Yes
No
Not Sure

Will you want to enjoy some character dining experiences and/or sit down meals during your stay?

Yes
No
Not Sure

What is your family's favorite Disney Character?

What are your family's most memorable vacation memories?

Will you be flying or driving?

Flying
Driving
Not Sure

Is there a specific budget for this vacation?

Will you be celebrating any special occassion while on your trip? (Birthday, Graduation, Anniversary, Honeymoon, Adoption, etc)

Please share with us any other pertinent information about your special Disney World vacation plans.

TIP

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