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--Addi WoodAlexa SumnerAlexandra SandersAllison BogerAllison YaegerAlyson KlattAmanda GibsonAmanda WatsonAmber RyndakAngie CarsonAnna DeutschAshtin BordenBecky SassBethany WilsonBrittany LoweBrittany RobertBrittney HorneBrittney NecessaryCarla MartinezCarmen TorresCarrie ForeChuck PattersonCindy UpchurchDawn TeixeiraDonna MalikDustin StanleyElizabeth KremerEmily KreutnerEmily RichardsErika CampbellErika MillsErin CuetoErin JansonHailey GrossHaley AndersonHeather SponholzHilary KinCannonJaden MikoulinskiiJescie HollenczerJessica KelleyJoMarie DeGioiaJulee WilkeJulia PhillipsKari BaerKarissa LindquistKate ThiemKatherine GaitherKathy JarboeKayla SidnerKelly JawhariKim BuchananKrista CainKristin McCartneyKristin WallaceLisa ClarkeLogan AutryLoriElle Cleveland-RichardMandi NewlinMark MullenMelissa LoganMichael JonesMichelle Austin-RossMichelle ChesterMichelle SoaresPenny RyanRachael WalpoleRebecca JordanRebekah DalySamantha MaderSami WeesiesSarah StepanekSerafina BerringerShannon RichardsStephanie PerlickStephanie SaundersStephie BellSteve HawthorneTammie HansonTammy RuhTerri McDanielTiffany de HardeTyLee WalckVeronica SuhajdaWhitney 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.
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!)
Disney allows each member of your party to have their own customized Magic Band. Please choose a Magic Band color for each member of your party, as well as the name you would like printed on the inside of the Magic Band (Max 9 characters).