Tell Us About You

Adult's Names (First and Last)		Favorite Character
	Male Female
	Male Female
	Male Female
	Male Female

Children's Names (First and Last)		Age at time of Travel	Favorite Character
	Male Female	0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
	Male Female	0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
	Male Female	0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
	Male Female	0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17

Guest Contact Name
How Did You Hear about Fairytale Dreams & Destinations?
Friend / Family Invidiata Magazine Vancouver Courier Caledon Enterprise Google/Internet Search Other		Please specify:
Did you want a response from a specific Disney Specialist? If so; please indicate which Vacation Specialist to make certain that they will be the one who will contact you regarding your inquiry
Christine (Teena) Fiorelli Karly Casha Dal Bostrom Robb Pollioni Kathryn Dickson No Preference
Guest Contact Phone
123-123-1234
Guest Contact E-mail Address			Please Verify Contact E-mail Address
Preferred Method of Contact			Do You Require Travel Insurance?
No Preference Telephone E-mail			Yes, Classic Medical Yes, Cancellation & Interruption Yes, Deluxe Insurance Other No Thank You

Dates of Travel

Arrival   Departure

Have I been on Disney Cruise Line before?		Select Yes No
Cruise Vacation Type
Type of Cruise Type of cruise I am interested in (3 night, 4 night, 7 night, Mediterranean, Alaskan etc.) Or - if you are not sure what type of cruise is being offered during your travel dates - please state 'not sure, please help'.
How Many Staterooms	- Select - 1 2 3 4 5 More than 5
Stateroom Type	- Select a Stateroom - Standard Inside Stateroom (sleeps up to 4 - Cat 11-12) Deluxe Inside Stateroom (sleeps up to 4 - Cat 10) Deluxe Oceanview Stateroom with Porthole (sleeps up to 4 - Cat 8-9) Deluxe Oceanview Stateroom with Verandah (sleeps up to 4 - Cat 5-7) Deluxe Family Stateroom with Verandah (sleeps up to 5 - Cat 4) 1 Bedroom Suite with Verandah (sleeps up to 5 - Cat 3) 2 Bedroom Suite with Verandah (sleeps up to 7 - Cat 2) Royal Suite with Verandah (sleeps up to 7 - Cat 1)
Dining Seating Preference	6:00 pm 8:30pm
Do You Need Ground Transportation?	- Select - Yes No
Special Requests Please advise us of any special assistance that a member of your travel party may require.
Additional Information Be sure to mention any special occasions you may be celebrating, such as a honeymoon, anniversary or birthday.