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Travel Quote Request
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* Indicates required question
Email
*
Your email
Susan Butts, Agent with Magical Moments Vacations
What type of travel?
Disney
Universal Studios Orlando
Cruise
International & Tropical Destinations
Other:
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Primary Traveler Name
*
First, Last , Middle Initial
Your answer
Phone
*
Your answer
Best Contact Method
*
Please choose your preffered method of contact. I will follow up with you this way.
Phone
Email
Text
FB Messenger
Other:
Required
Travel Start Date
MM
/
DD
/
YYYY
Travel End Date
*
MM
/
DD
/
YYYY
Number of Adults?
*
Your answer
Number of Children
*
Your answer
Special Requests or accommodations
Example: ADA Compliant room, Allergies Etc.
Your answer
Memberships, Discounts, Rewards
Enter membership or rewards name and number in the "Other"
Active, Reserve, Retired Military ID cardholder
Airline Rewards
Other:
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