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Name * First Last Address * Street Address budget new york hotels City State / Province / Region Zip / Postal Code Afghanistan Albania Algeria American Samoa Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Central African Republic Chad Chile China Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Costa Rica C te d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Greenland Grenada Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania budget new york hotels Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Northern Mariana Islands Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay budget new york hotels Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Sudan, South Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand budget new york hotels Togo Tonga Trinidad and Tobago Tunisia budget new york hotels Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States budget new york hotels Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin budget new york hotels Islands, U.S. Yemen Zambia Zimbabwe Country Phone * Email * Your Travel Dates Arrival Date Departure Date Are your dates flexible? If yes, enter date range Your Travel Party How many adults in your party (ages 18 and up)?: How Many Children in your party? What are the ages of the children?: Walt Disney World Resort Accommodations Please select your preferred resort: All Star Movies - Value All Star Music - Value All Star Sports - Value Art of Animation - Value Pop Century - Value Caribbean Beach Resort- Moderate Coronado Springs Resort budget new york hotels - Moderate Port Orleans Riverside - Moderate Port Orleans French Quarter - Moderate Fort Wilderness budget new york hotels Cabins budget new york hotels - Moderate Animal Kingdom Lodge - Deluxe Beach Club Resort - Deluxe Boardwalk Inn - Deluxe Contemporary Resort - Deluxe Grand Floridian Resort - Deluxe Polynesian budget new york hotels Resort - Deluxe Wilderness Lodge - Deluxe Yacht Club Resort - Deluxe Bay Lake Tower - Deluxe Villa Beach Club Villas - Deluxe Villas Boardwalk Villas - Deluxe Villas Old Key West Resort -Deluxe Villas Saratoga Springs Resort and Spa - Deluxe Villas Wilderness budget new york hotels Lodge Villas - Deluxe Villas Fort Wilderness budget new york hotels Campground Campsites Please select your second budget new york hotels choice resort: All Star Movies - Value All Star Music - Value All Star Sports budget new york hotels - Value Art of Animation - Value Pop Century - Value Caribbean Beach Resort- Moderate Coronado Springs Resort - Moderate Port Orleans Riverside - Moderate Port Orleans French Quarter - Moderate Fort Wilderness Cabins - Moderate Animal Kingdom Lodge - Deluxe Beach Club Resort - Deluxe Boardwalk Inn - Deluxe Contemporary Resort - Deluxe Grand Floridian Resort - Deluxe Polynesian Resort - Deluxe Wilderness Lodge - Deluxe Yacht Club Resort - Deluxe budget new york hotels Bay Lake Tower - Deluxe Villa Beach Club Villas - Deluxe Villas Boardwalk Villas - Deluxe Villas Old Key West Resort budget new york hotels -Deluxe Villas Saratoga Springs Resort and Spa - Deluxe Villas Wilderness Lodge Villas - Deluxe Villas budget new york hotels Fort Wilderness Campground Campsites If you have a third or fourth resort quote request please list it in the Notes section. How many rooms? Do you want to add the dining plan? Yes No Magic Your Way Tickets: Select the number of days for your park tickets. None 1 2 3 4 5 6 7 8 9 10 Additional features for your tickets (select all that apply) Park Hopper Water Park Fun & More No Expiration Option Discounts We will search the current Disney Package Discounts to get you the best price. There may be discounts as well if you have one of the following: Disney Visa: Do you have a Disney Visa card? Yes No Annual Pass: Do you have a WDW Annual Pass? Yes No Additional Information: Select An Agent Any Agent Amy Carver Amy St Jean Angelica Anna Anthony April Bob Brandon Brenda budget new york hotels Bridget Chad Cherise Chris Jessie Chris Shively Chris Wood Christine Christy Dawn Debbie Debbie N Denise Diane Donna Dulcie Elescia Emily Ginger Jenn Jennifer Jennifer Marie Jess Jim Jodi Julie Katie Kelly Krissy Kristin Lauren budget new york hotels Lisa Lesley Leslie H Lynne Meghan Matt C Matthew Michele budget new york hotels Mike Misty Natalie Nathan Paul Robin Scott Sharon Stacey Steve K Tabitha Tasha Tony Tonya Tracey This is my first request with Pixie Vacations: Yes No Travel budget new york hotels Insurance. Include in this quote? Yes No Would you like us to HOLD a reservation for you while you look it over? Rooms and specials at Disney World book quickly. We can put a complementary hold on your reservation for seven days while you review the quote. To do a hold, we need your phone number and everyone's first and last name in the party. budget new york hotels You can enter everyone's names in the Notes field at the bottom of the form. No credit card is needed and you are not committed. If you do not book within 7 days the reservation simply goes away. Do you want us to place a reservation on hold for you (ALL names are required in the Notes section below): Yes No Where did you hear about us? Did you hear about this on Mouse Chat? Notes Mouse Chat Event Please indicate budget new york hotels any additional information so we can be sure to plan the Walt Disney World vacation that is just right for you. If you would like air quoted in your Disney Vacation, please add your airport code.