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Please Complete this form so we can finalize your Disney World Vacation Booking.
Your Name (required)
Your Email (required)
Vacationeer Agent you're working with (required) --Select Agent--Aaron LindAlaina Vickers-DodgeAllison BarmoreAllison BogerAmanda GibsonAmanda SingletonAmber JonesAmber RyndakAnna DeutschAnna SleddAshtin BordenBecky SassBethany WilsonBri PritchettBrittany LoweBrittany MaurerBrittany RobertBrittney HorneBrittney NecessaryCarla MartinezCarol StricklerCecilia BrushChuck PattersonChristina PerezChristine CorbittChristy GenchiCindy UpchurchDanielle CosgroveDawn TeixeiraDustin StanleyElizabeth KremerElizabeth RobbinsEmily KreutnerErika CampbellErin JansonGabby TrumpHailey GrossHeather SponholzJenna JohnstonJennifer FurerJescie HollenczerJessie FordJessica WaltersJoMarie DeGioiaJordan HulettJulee WilkeKamaila SandersKarissa LindquistKatherine GaitherKathy JarboeKayla SullivanKelly MastelloKelsey StilesKiara Colindres-PiresKim BuchananKrista CainKristin McCartneyKristin WallaceKristina PickettLauren AlfaroLauren MartinezLauren MeekerLisa ClarkeLogan AutryLoriElle Cleveland-RichardLynn Amodeo-SmithMandi NewlinMargie de QuesadaMark MullenMelissa LoganMichelle HansenMichelle Austin-RossMichelle SoaresNicole StapletonNicole WhiteheadPenny RyanRachael WalpoleRandal DoudRebekah DalySamantha MaderSarah StepanekStephanie PerlickTammy RuhTerri McDanielTiffany de HardeTiffany MiaraWhitney Crawford
Last 4 digits of credit card # (required)
This form authorizes The Vacationeer to charge your travel arrangements to your credit card. Please sign below. Please note that you are not making a payment by submitting this form. Your Vacationeer will process your payments for you.
This confirms that, in accordance with all applicable laws, I am instructing The Vacationeer to purchase travel using the credit card listed. Further, I understand that I have authorized this transaction and will hold The Vacationeer harmless with respect to these instructions.
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An inherent risk of exposure to COVID-19 exists in any public place where people are present. COVID-19 is an extremely contagious disease that can lead to severe illness and death, By visiting any of the venues offered by The Vacationeer, including but not limited to Disney World, Disneyland, Disney Cruiseline, Universal Orlando, Universal Studios Hollywood, etc., you voluntarily assume all risks related to exposure to COVID-19.
Check the box below indicating we have informed you of the risks associated with COVID-19. (required) I have been notified by The Vacationeer of the health risks associated with COVID-19 and I assume all associate risks.
Federal law forbids the carriage of certain hazardous materials, such as weapons, aerosols, fireworks, and flammable liquids, aboard aircraft. Read more about the restrictions here.
The US Department of Transportation (DOT) requires that The Vacationeer disclose this information to you.
Check the box below indicating we have informed you of the ban on certain hazardous materials aboard aircraft. (required) I have been notified by The Vacationeer of the DOT's regulations regarding hazardous materials on aircraft.
Travel insurance is offered as an add-on service, to protect your investment against unforeseen events that may cause a last minute cancellation.
Would you like to protect your investment with Travel Insurance? (required) Yes! I would like to purchase travel insurance.No. I decline travel insurance coverage for my vacation. I acknowledge that The Vacationeer offered travel insurance when booking my vacation.
Disney loves to celebrate! Please let us know if you're celebrating anything on your vacation. (You may choose more than one!) BirthdayAnniversaryHoneymoonGraduationFirst VisitOther
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