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Your Name Mr. Mrs. Miss Ms. Address1 Address2 City State Zip Providence/Country Daytime Phone Evening Phone E-Mail Address Verify your e-mail address Are you a past Adventures by Disney Guest? Yes No If yes, to which destination did you travel?
TRAVEL PARTY Number of Adults Traveling Number of Children Traveling
List Proper Names of Adults (No nicknames)
List Proper Names and Ages of Children at the time of travel (No nicknames)
ADVENTURE DESTINATION AND DATES Please choose your Adventure Destination and Vacation Date Asia, Africa & Australia More information Australia Please Select Mar 26, 2011 - Apr 04, 2011 Apr 02, 2011 - Apr 11, 2011 Jun 11, 2011 - Jun 19, 2011 Jul 2, 2011 - Jul 10, 2011 Aug 13, 2011 - Aug 21, 2011 Sept 10, 2011 - Sept 18, 2011 (Adults Only - 18 and over) Dec 18, 2011 - Dec 26, 2011 Dec 22, 2011 - Dec 30, 2011 China Please Select May 15, 2011 - May 27, 2011 (Adults Only - 18 and over) Jun 12, 2011 - June 24, 2011 Jun 26, 2011 - Jul 6, 2011 Jul 10, 2011 - Jul 22, 2011 Jul 17, 2011 - Jul 27, 2011 Jul 31, 2011 - Aug 12, 2011 Aug 7, 2011 - Aug 19, 2011 Aug 14, 2011 - Aug 24, 2011 Egypt Please Select Apr 19, 2011 - Apr 26, 2011 Apr 26, 2011 - May 5, 2011 June 7, 2011 - June 16, 2011 June 21, 2011 - June 28, 2011 Jul 19, 2011 - Jul 26, 2011 Aug 2, 2011 - Aug 11, 2011 Oct 11, 2011 - Oct 20, 2011 Dec 20, 2011 - Dec 29, 2011 Dec 27, 2011 - Jan 3, 2012 Mar 20, 2012 - Mar 29, 2012 Apr 10, 2012 - Apr 17, 2012 Apr 24, 2012 - May 3, 2012 South Africa Please Select Apr 12, 2011 - Apr 23, 2011 Apr 26, 2011 - May 07, 2011 May 22, 2011 - May 31, 2011 (Adults Only - 18 and over) June 5, 2011 - June 14, 2011 June 19, 2011 - June 28, 2011 Jul 3, 2011 - Jul 12, 2011 Jul 17, 2011 - Jul 26, 2011 Aug 7, 2011 - Aug 16, 2011 Aug 21, 2011 - Aug 30, 2011 Sept 18, 2011 - Sept 27, 2011 (Adult Only - 18 and over) Dec 23, 2011 - Jan 1, 2012
Central & South America More information Costa Rica Please Select Feb 19, 2011 - Feb 25, 2011 Mar 5, 2011 - Mar 11, 2011 (Adults Only - 18 and over) Mar 26, 2011 - Apr 1, 2011 Apr 16, 2011 - Apr 22, 2011 Jun 11, 2011 - Jun 17, 2011 (Adult Only - 18 and over) Jun 18, 2011 - Jun 24, 2011 Jun 25, 2011 - Jul 1, 2011 Jul 16, 2011 - Jul 22, 2011 Jul 23, 2011 - Jul 29, 2011 Jul 30, 2011 - Aug 5, 2011 Aug 6, 2011 - Aug 12, 2011 Aug 13, 2011 - Aug 19, 2011 Sept 17, 2011 - Sept 23, 2011 (Adults Only - 18 and over) Nov 19, 2011 - Nov 25, 2011 Dec 23, 2011 - Dec 29, 2011 Dec 30, 2011 - Jan 5, 2012 Mar 17, 2012 - Mar 23, 2012 Mar 31, 2012 - Apr 6, 2012 Apr 7, 2012 - Apr 13, 2012 Apr 14, 2012 - Apr 20, 2012 (Adults Only - 18 and over) Ecuador & The Galapagos Islands Please Select Apr 19, 2011 - Apr 28, 2011 (Adults Only - 18 and over) Jun 14, 2011 - Jun 23, 2011 Jun 28, 2011 - Jul 7, 2011 Jul 19, 2011 - Jul 28, 2011 Aug 2, 2011 - Aug 11, 2011 Dec 20, 2011 - Dec 29, 2011 Mar 30, 2012 - Apr 8, 2012 Peru Please Select Feb 15, 2011 - Feb 23, 2011 Jun 14, 2011 - Jun 22, 2011 (Adults Only - 18 and over) Jun 21, 2011 - Jun 29, 2011 Jun 28, 2011 - Jul 6, 2011 Jul 5, 2011 - Jul 13, 2011 Jul 19, 2011 - July 27, 2011 Jul 26, 2011 - Aug 3, 2011 Aug 2, 2011 - Aug 10, 2011 Aug 23, 2011 - Aug 31, 2011 Aug 30, 2011 - Sep 7, 2011 Sep 20, 2011 - Sep 28, 2011 (Adults Only - 18 and over) Oct 18, 2011 - Oct 26, 2011 (Adults Only - 18 and over) Dec 20, 2011 - Dec 28, 2011
North America More information Alaska Please Select Jun 15, 2011 - Jun 22, 2011 Jun 24, 2011 - Jul 1, 2011 Jul 3, 2011 - Jul 10, 2011 Jul 13, 2011 - Jul 20, 2011 Jul 22, 2011 - Jul 29, 2011 Jul 31, 2011 - Aug 7, 2011 Aug 10, 2011 - Aug 17, 2011 Aug 19, 2011 - Aug 26, 2011 (Adults Only - 18 and over) American Southwest Please Select Apr 30, 2011 - May, 7, 2011 (Adult Only - 18 and over) May 28, 2011 - Jun 4, 2011 Jun 7, 2011 - Jun 14, 2011 Jun 14, 2011 - Jun 21, 2011 Jun 18, 2011 - Jun 25, 2011 Jun 25, 2011 - Jul 2, 2011 Jul 2, 2011 - Jul 9, 2011 Jul 5, 2011 - Jul 12, 2011 Jul 16, 2011 - Jul 23, 2011 Jul 19, 2011 - Jul 26, 2011 Jul 26, 2011 - Aug 2, 2011 Aug 6, 2011 - Aug 13, 2011 Sep 24, 2011 - Oct 1, 2011 (Adults Only - 18 and over) Mid-Atlantic States Please Select May 24, 2011 - May 31, 2011 Jun 3, 2011 - Jun 10, 2011 Jun 14, 2011 - Jun 21, 2011 Jun 28, 2011 - Jul 5, 2011 Jul 8, 2011 - Jul 15, 2011 Jul 19, 2011 - Jul 26, 2011 Jul 29, 2011 - Aug 5, 2011 Aug 9, 2011 - Aug 16, 2011 Aug 19, 2011 - Aug 26, 2011 Sep 16, 2011 - Sep 23, 2011 (Adults Only - 18 and over) Southern California Please Select Apr 3, 2011 - Apr 8, 2011 Apr 17, 2011 - Apr 22, 2011 May 1, 2011 - May 6, 2011 May 3, 2011 - May 8, 2011 Jun 12, 2011 - Jun 17, 2011 Jun 19, 2011 - Jun 24, 2011 Jun 26, 2011 - Jul 1, 2011 Jul 3, 2011 - Jul 8, 2011 Jul 17, 2011- Jul 22, 2011 Jul 31, 2011 - Aug 5, 2011 Aug 7, 2011 - Aug 12, 2011 Aug 14, 2011 - Aug 19, 2011 Sep 11, 2011 - Sep 16, 2011 Oct 23, 2011 - Oct 28, 2011 (Adults Only - 18 and over) Nov 20, 2011 - Nov 25, 2011 Dec 18, 2011 - Dec 23, 2011 Wyoming Please Select Jun 15, 2011 - Jun 21, 2011 Jun 20, 2011 - Jun 26, 2011 Jun 22, 2011 - Jun 28, 2011 Jun 29, 2011 - Jul 5, 2011 Jul 4, 2011 - Jul 10, 2011 Jul 11, 2011 - Jul 17, 2011 Jul 13, 2011 - Jul 19, 2011 Jul 18, 2011 - Jul 24, 2011 Jul 20, 2011 - Jul 26, 2011 Jul 27, 2011 - Aug 2, 2011 Aug 1, 2011 - Aug 7, 2011 Aug 3, 2011 - Aug 9, 2011 Aug 17, 2011 - Aug 23, 2011 Aug 22, 2011 - Aug 28, 2011 U.S. & Southwest Canada Please Select Jun 18, 2011 - Jun 25, 2011 Jun 25, 2011 - Jul 2, 2011 Jul 9, 2011 - Jul 16, 2011 Jul 16, 2011 - Jul 23, 2011 Jul 23, 2011 - Jul 30, 2011 Aug 6, 2011 - Aug 13, 2011 Aug 13, 2011 - Aug 20, 2011 Sep 3, 2011 - Sep 10, 2011
Europe More information England & France Please Select Apr 22, 2011 - Apr 28, 2011 Apr 25, 2011 - May 1, 2011 May 9, 2011 - May 15, 2011 (Adults Only - 18 and over) May 13, 2011 - May 19, 2011 May 27, 2011 - Jun 2, 2011 Jun 3, 2011 - Jun 9, 2011 Jun 10, 2011 - Jun 16, 2011 Jun 13, 2011 - Jun 19. 2011 Jun 20, 2011 - Jun 26, 2011 Jun 24, 2011 - Jun 30, 2011 Jul 1, 2011 - Jul 7,2011 Jul 4, 2011 - Jul 10, 2011 Jul 15, 2011 - Jul 21, 2011 Jul 22, 2011 - Jul 28, 2011 Jul 29, 2011 - Aug 4, 2011 (Adults Only - 18 and over) Aug 5, 2011 - Aug 11, 2011 Aug 8, 2011 - Aug 14, 2011 Aug 19, 2011 - Aug 25, 2011 Sep 2, 2011 - Sep 8, 2011 (Adults Only - 18 and over) Dec 20, 2011 - Dec 26, 2011 Dec 28, 2011 - Jan 3, 2012 European Alps Please Select Jun 5, 2011 - Jun 13, 2011 Jun 20, 2011 - Jun 28, 2011 Jul 3, 2011 - Jul 11, 2011 Jul 17, 2011 - Jul 25, 2011 Aug 7, 2011 - Aug 15, 2011 Sep 11, 2011 - Sep 19, 2011 (Adults Only - 18 and over) Germany Please Select May 23, 2011 - May 31, 2011 (Adults Only - 18 and over) May 27, 2011 - Jun 4, 2011 Jun 3, 2011 - Jun 11, 2011 Jun 10, 2011 - Jun 18, 2011 Jun 17, 2011 - Jun 25, 2011 Jun 24, 2011 - Jul 2, 2011 Jul 1, 2011 - Jul 9, 2011 Jul 8, 2011 - Jul 16, 2011 Jul 22, 2011 - Jul 30, 2011 Jul 29, 2011 - Aug 6, 2011 Aug 5, 2011 - Aug 13, 2011 Aug 12, 2011 - Aug 20, 2011 Aug 19, 2011 - Aug 27, 2011 Aug 26, 2011 - Sep 3, 2011 Sept 16, 2011 - Sep 24, 2011 (Adults Only - 18 and older) Dec 16, 2011 - Dec 24, 2011 Italy - Rome, Tuscany & Venice Please Select Apr 24, 2011 - May 3, 2011 May 12, 2011 - May 20, 2011 May 19, 2011 - May 27, 2011 May 23, 2011 - May 31, 2011 May 26, 2011 - Jun 3, 2011 (Adults Only - 18 and over) Jun 2, 2011 - Jun 10, 2011 Jun 9, 2011 - Jun 17, 2011 Jun 13, 2011 - Jun 21, 2011 Jun 16, 2011 - Jun 24, 2011 Jun 20, 2011 - Jun 28, 2011 Jun 23, 2011 - Jul 1, 2011 Jun 30, 2011 - Jul 8, 2011 Jul 3, 2011 - Jul 11, 2011 Jul 7, 2011 - Jul 15, 2011 Jul 11, 2011 - Jul 19, 2011 Jul 18, 2011 - Jul 26, 2011 (Adults Only - 18 and over) Jul 21, 2011 - Jul 29, 2011 Jul 24, 2011 - Aug 1, 2011 Jul 28, 2011 - Aug 5, 2011 Jul 31, 2011 - Aug 8, 2011 Aug 4, 2011 - Aug 12, 2011 Aug 8, 2011 - Aug 16, 2011 Aug 18, 2011 - Aug 26, 2011 Aug 22, 2011 - Aug 30, 2011 Aug 25, 2011 - Sep 2, 2011 Sept 1, 2011 - Sep 9, 2011 Sep 8, 2011 - Sep 16, 2011 Sep 15, 2011 - Sep 23, 2011 Sep 22, 2011 - Sep 30, 2011 (Adults Only - 18 and over) Oct 3, 2011 - Oct 11, 2011 Oct 13, 2011 - Oct 21, 2011 (Adults Only - 18 and over) Dec 20, 2011 - Dec 28, 2011 Dec 29, 2011 - Jan 6, 2012 Italy - Sorrento, Florence & The Amalfi Coast Please Select May 21, 2011 - May 28, 2011 Jun 1, 2011 - Jun 8, 2011 (Adults Only - 18 and over) Jun 22, 2011 - Jun 29, 2011 Jul 2, 2011 - Jul 9, 2011 Jul 16, 2011 - Jul 23, 2011 Jul 27, 2011 - Aug 3, 2011 Aug 6, 2011 - Aug 13, 2011 Aug 24, 2011 - Aug 31, 2011 Sep 21, 2011 - Sep 28, 2011 (Adults Only - 18 and over) Oct 22, 2011 - Oct 29, 2011 (Adults Only - 18 and over) Ireland Please Select May 21, 2011 - May 28, 2011 (Adults Only - 18 and over) May 31, 2011 - Jun 7, 2011 Jun 11, 2011 - Jun 18, 2011 Jun 14, 2011 - Jun 21, 2011 Jun 25, 2011 - Jul 2, 2011 Jul 5, 2011 - Jul 12, 2011 Jul 16, 2011 - Jul 23, 2011 Jul 23, 2011 - Jul 30, 2011 Jul 26, 2011 - Aug 2, 2011 Aug 2, 2011 - Aug 9, 2011 Aug 13, 2011 - Aug 20, 2011 Aug 23, 2011 - Aug 30, 2011 Sep 10, 2011 - Sep 17, 2011 Sep 20, 2011 - Sep 27, 2011 (Adults Only - 18 and over)
AIR TRAVEL, TRIP INSURANCE Would you like to include air travel in your quote? Yes No If so, from what city Make a Selection Abilene, TX (ABI) Akron/Canton, OH (CAK) Albany, NY (ALB) Albuquerque, NM (ABQ) Allentown, PA (ABE) Amarillo, TX (AMA) Anchorage, AK (ANC) Asheville, NC (AVL) Athens, GA (AHN) Atlanta, GA (ATL) Atlantic City, NJ (ACY) Augusta, GA (AGS) Austin, TX (AUS) Baltimore (Washington, DC), MD (BWI) Bangor, ME (BGR) Baton Rouge, LA (BTR) Billings, MT (BIL) Binghamton, NY (BGM) Birmingham, AL (BHM) Bismarck, ND (BIS) Bloomington, IL (BMI) Blountville, TN (TRI) Boise, ID (BOI) Boston, MA (BOS) Bozeman, MT (BZN) Bradford, PA (BFD) Buffalo, NY (BUF) Burlington, VT (BTV) Cedar Rapids, IA (CID) Champaign, IL (CMI) Charleston, WV (CRW) Charleston, SC (CHS) Charlotte, NC (CLT) Charlottesville, VA (CHO) Chattanooga, TN (CHA) Chicago, IL (MDW) Chicago, IL (ORD) Cincinnati, OH (CVG) Clarksburg, WV (CKB) Cleveland, OH (CLE) Colorado Springs, CO (COS) Columbia, SC (CAE) Columbus, OH (CMH) Corpus Christi, TX (CRP) Dallas/Ft. Worth, TX (DFW) Dayton, OH (DAY) Denver, CO (DEN) Des Moines, IA (DSM) Detroit, MI (DTW) Dubois, PA (DUJ) El Paso, TX (ELP) Elmira, NY (ELM) Erie, PA (ERI) Eugene, OR (EUG) Evansville, IN (EVV) Fargo, ND (FAR) Fayetteville, AR (XNA) Fayetteville, NC (FAY) Flint, MI (FNT) Fort Wayne, IN (FWA) Franklin, PA (FKL) Fresno, CA (FAT) Grand Rapids, MI (GRR) Great Falls, MT (GTF) Green Bay, WI (GRB) Greensboro, NC (GSO) Greenville, SC (GSP) Hagerstown, MD (HGR) Harlingen, TX (HRL) Harrisburg, PA (MDT) Hartford, CT (BDL) Helena, MT (HLN) Hilton Head, SC (HHH) Honolulu, HI (HNL) Houston, TX (IAH) Huntington, WV (HTS) Huntsville, AL (HSV) Indianapolis, IN (IND) Islip-Long Island, NY (ISP) Ithaca, NY (ITH) Jackson, MS (JAN) Jamestown, NY (JHW) Johnstown, PA (JST) Kalamazoo, MI (AZO) Kansas City, MO (MCI) Knoxville, TN (TYS) LaTrobe, PA (LBE) Lancaster, PA (LNS) Lansing, MI (LAN) Las Vegas, NV (LAS) Lexington, KY (LEX) Lincoln, NE (LNK) Little Rock, AR (LIT) Los Angeles, CA (LAX) Louisville, KY (SDF) Lubbock, TX (LBB) Lynchburg, VA (LYH) Madison, WI (MSN) Manchester, NH (MHT) McAllen, TX (MFE) Memphis, TN (MEM) Meridian, MS (MEI) Midland, TX (MAF) Milwaukee, WI (MKE) Minneapolis/St. Paul, MN (MSP) Missoula, MT (MSO) Mobile, AL (MOB) Moline, IL (MLI) Monroe, LA (MLU) Montgomery, AL (MGM) Morgantown, WV (MGW) Myrtle Beach, SC (MYR) Nashville, TN (BNA) New Bern, NC (EWN) New Orleans, LA (MSY) New York, NY (LGA) New York, NY (JFK) Newark, NJ (EWR) Newburgh/Stewart, NY (SWF) Newport News, VA (PHF) Norfolk, VA (ORF) Oakland, CA (OAK) Oklahoma City, OK (OKC) Omaha, NE (OMA) Ontario, CA (ONT) Orange County, CA (SNA) Pasco, WA (PSC) Peoria, IL (PIA) Philadelphia, PA (PHL) Phoenix, AZ (PHX) Pittsburgh, PA (PIT) Portland, ME (PWM) Portland, OR (PDX) Providence, RI (PVD) Raleigh/Durham, NC (RDU) Rapid City, SD (RAP) Reading, PA (RDG) Reno, NV (RNO) Richmond, VA (RIC) Roanoke, VA (ROA) Rochester, MN (RST) Rochester, NY (ROC) Sacramento, CA (SMF) Saginaw, MI (MBS) Salisbury, MD (SBY) Salt Lake City, UT (SLC) San Antonio, TX (SAT) San Diego, CA (SAN) San Francisco, CA (SFO) San Jose, CA (SJC) San Juan, PR (SJU) Savannah, GA (SAV) Seattle, WA (SEA) Shreveport, LA (SHV) Sioux Falls, SD (FSD) South Bend, IN (SBN) Spokane, WA (GEG) Springfield, MO (SGF) Springfield, IL (SPI) St. Louis, MO (STL) State College, PA (SCE) Syracuse, NY (SYR) Texarkana, AR (TXK) Toledo, OH (TOL) Tucson, AZ (TUS) Tulsa, OK (TUL) Washington, DC (DCA) Washington, DC (IAD) Wausau, WI (CWA) Wichita, KS (ICT) Wilkes-Barre, PA (AVP) Williamsport, PA (IPT) Wilmington, NC (ILM) Worcester, MA (ORH) Preferred airline carrier Would you be willing to make a stop or connection Yes No What class of air travel would you prefer? Economy Business First Class Would you like Trip Cancellation and Interruption Insurance Yes No Selecting NO for Trip Cancellation and Interruption insurance means you decline to purchase Insurance for your vacation.
PLEASE TELL US How did you find out about our website Please Select I am a past client Referred by a past client Alta Vista AOL Search AskJeeves.com Canada.com Car Wrap Clearview Strathmore Cinema Disney Driven Life Disney-Forums.com DisneyReporter.net Disneysearch.net Disneytrivia.net Dogpile.com Excite Forodisney.com Gaytravel.com Google Hillborough Cinema Inside the Magic Podcast Lycos MGMStudios.org Micechat.com MickeyNews.com Message Board Mouse House News MousePal.com Paper of Montgomery County - Indiana Podcast Purpleroofs.com Rodgers Forge Community Newsletter- Maryland Springlake News - Maryland SR950 TalkDisney.com Twitter WaltDisneyBoards.com WDWNewsToday.com WDW News Today Podcast West News Magazine - Missouri Yahoo Other Regarding this quote request Please Select Getting an idea on what an Adventures by Disney Vacation costs Definitely plan on booking but would need more information on the specific Adventure Have traveled with other escorted tours and wanted to compare prices Would you like to be added to our mailing list to receive information on special offers? Yes No
Travel Dates If your travel dates are flexible please list your information below. Special Occasions Please list below any special occasions you will be celebrating while on your vacation. Groups Please list your parties breakdown per room. Include how many adults and how many children along with the children's ages that will be in each room.
New Clients If your family or friends have referred you to Magical Travel please list their name so we can thank them. Questions, Comments, Additional Information The latest Adventures by Disney offer will be included with your price quote.
ATTENTION: YOU WILL NOT RECEIVE A QUOTE IF THE AGES OF THE CHILDREN ARE MISSING. PRICING IS BASED ON THE THE AGES OF THE CHILDREN.
