Travel Dates

* = Required Field

Please Enter The Date You Wish To Arrive
Month:* January February March April May June July August September October November December	Day:* 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31	Year:* 2008 2009
Is Your Arrival Date Flexible?		Number Of Nights*
If yes, please provide a date range below: (ie. 12/12 to 12/20/08)		1-Night 2-Nights 3-Nights 4-Nights 5-Nights 6-Nights 7-Nights 8-Nights 9-Nights 10-Nights 11-Nights 12-Nights 13-Nights 14-Nights 15-Nights 16-Nights 17-Nights 18-Nights 19-Nights 20-Nights 21-Nights

Guest Information

	Number of Adults* (Ages 18 and older) At the time of travel One (1) Two (2) Three (3) Four (4) Five (5) Six (6) Seven (7) Eight (8) Nine (9) Ten (10) Eleven (11) Twelve (12) Thirteen (13) Fourteen (14) Fifteen (15)
Age of Child #1: At the time of travel Infant Two (2) Three (3) Four (4) Five (5) Six (6) Seven (7) Eight (8) Nine (9) Ten (10) Eleven (11) Twelve (12) Thirteen (13) Fourteen (14) Fifteen (15) Sixteen (16) Seventeen (17)	Age of Child #2: At the time of travel Infant Two (2) Three (3) Four (4) Five (5) Six (6) Seven (7) Eight (8) Nine (9) Ten (10) Eleven (11) Twelve (12) Thirteen (13) Fourteen (14) Fifteen (15) Sixteen (16) Seventeen (17)	Age of Child #3: At the time of travel Infant Two (2) Three (3) Four (4) Five (5) Six (6) Seven (7) Eight (8) Nine (9) Ten (10) Eleven (11) Twelve (12) Thirteen (13) Fourteen (14) Fifteen (15) Sixteen (16) Seventeen (17)
Age of Child #4: At the time of travel Infant Two (2) Three (3) Four (4) Five (5) Six (6) Seven (7) Eight (8) Nine (9) Ten (10) Eleven (11) Twelve (12) Thirteen (13) Fourteen (14) Fifteen (15) Sixteen (16) Seventeen (17)	Age of Child #5: At the time of travel Infant Two (2) Three (3) Four (4) Five (5) Six (6) Seven (7) Eight (8) Nine (9) Ten (10) Eleven (11) Twelve (12) Thirteen (13) Fourteen (14) Fifteen (15) Sixteen (16) Seventeen (17)	Age of Child #6: At the time of travel Infant Two (2) Three (3) Four (4) Five (5) Six (6) Seven (7) Eight (8) Nine (9) Ten (10) Eleven (11) Twelve (12) Thirteen (13) Fourteen (14) Fifteen (15) Sixteen (16) Seventeen (17)
Age of Child #7: At the time of travel Infant Two (2) Three (3) Four (4) Five (5) Six (6) Seven (7) Eight (8) Nine (9) Ten (10) Eleven (11) Twelve (12) Thirteen (13) Fourteen (14) Fifteen (15) Sixteen (16) Seventeen (17)	Age of Child #8: At the time of travel Infant Two (2) Three (3) Four (4) Five (5) Six (6) Seven (7) Eight (8) Nine (9) Ten (10) Eleven (11) Twelve (12) Thirteen (13) Fourteen (14) Fifteen (15) Sixteen (16) Seventeen (17)	Age of Child #9: At the time of travel Infant Two (2) Three (3) Four (4) Five (5) Six (6) Seven (7) Eight (8) Nine (9) Ten (10) Eleven (11) Twelve (12) Thirteen (13) Fourteen (14) Fifteen (15) Sixteen (16) Seventeen (17)
Passenger Name List
Please provide the legal name and age (at the time of travel) for each passenger.* (please press enter after each name entered) EXAMPLE: Room #1: Mr. Randall Smith - 35 Mrs. Jennifer Smith - 34 Miss. Taylor Smith - 8 Mstr. Randall Smith Jr. - 7 Room #2: Mr. Paul Smith - 55 Mrs. Rachel Smith - 52

Vacation Package Details

Hotel Selection

Please select which section of the hotel you prefer to stay in. If your first choice is unavailable, we will attempt to confirm you in the property's other hotel section.

Preferred Hotel Choice:* Walt Disney World® Swan Hotel Walt Disney World® Dolphin Hotel

Number of Hotel Rooms:* 1 2 3 4 5 6 Smoking Request: Non-Smoking Smoking Special Room Request(s): (example: water view room, connecting rooms, celebrating birthday, etc.)

Vacation Package Selection*

Walt Disney World® Swan and Dolphin Hotel Package Customize Your Admission Ticket: ** Use our Ticket Calculator to compare the cost of ticket options, then choose the options you would like to add below. Choose the Length of your Base Ticket -- Please Select Your Base Ticket -- 1-Day Magic Your Way Base Ticket 2-Day Magic Your Way Base Ticket 3-Day Magic Your Way Base Ticket 4-Day Magic Your Way Base Ticket 5-Day Magic Your Way Base Ticket 6-Day Magic Your Way Base Ticket 7-Day Magic Your Way Base Ticket 8-Day Magic Your Way Base Ticket 9-Day Magic Your Way Base Ticket 10-Day Magic Your Way Base Ticket Park Hopper Option YES - Include The Park Hopper Option NO - Do Not Include The Park Hopper Option Water Park Fun & More Option YES - Include The Water Park Fun & More Option NO - Do Not Include The Water Park Fun & More Option No Expiration Option YES - Include The No Expiration Option NO - Do Not Include The No Expiration Option Room-Only Package (does not include theme park tickets)

Optional - Airfare and Ground Transportation

If you would like to include Round-Trip Airfare, a Rental Car, or Airport Transfers in your vacation package, please complete the section below. Otherwise please proceed to the "Additional Information" section.

Departure City Desired Depart Time Desired Return Time Preferred Airline Frequent Flyer #

Children ages 2 years and older are Required by Federal Law to have their own seats on an aircraft. Seats for children under the age of 2 years are Optional and may be purchased at your discretion. We highly recommend the purchase of a seat for each passenger traveling, regardless of age, and encourage the use of a car seat for infants. Number Of Airline Seats Requested:

Airport Transfers or Rental Car: Motorcoach Transfers Towncar Transfers Limousine Transfers Rental Car - Economy (4 passenger max) Rental Car - Compact (5 passenger max) Rental Car - Mid-Size (5 passenger max) Rental Car - Full-Size (5 passenger max) Rental Car - SUV (5 passenger max) Rental Car - Mini-Van (7 passenger max) Rental Car - 4-Wheel Drive (5 passenger max)

Additional Information

How Would You Like Us To Process Your Request? a. Please provide a price quote only b. If available, please make a courtesy reservation (at no obligation) c. Please have a travel consultant follow-up with a phone call d. Both (a) and (b) e. Both (a) and (c) f.  All (a), (b) and (c)

At times we are able to offer special discounts or promotions for guests who are VISA® or DISNEY VISA® cardholders. Are You a VISA® or Disney VISA® Cardholder? No Yes, VISA® Cardholder Yes, DISNEY VISA® Cardholder

Other Comments Or Special Requests: Please press Enter at the end of each line.

Contact Information

First Name* Last Name* Mailing Address* City* State* Zip Code* Country   Home Address Work Address Home Phone* Work Phone Fax Regarding SPAM Software: A summary of the vacation package you have requested will be sent to the email address you provide below. If you have a spam filter active on your computer please be aware that it may consider email from IneedaVacation.com™ as SPAM. As a result, we recommend that you add the domain "ineedavacation.com" to your "allow list" within your SPAM software. If you still do not receive your package summary by email, please be sure to check your SPAM folder. Email* Verify Email* | RETURN TO THE TOP OF THE PAGE | PACKAGE TERMS AND CONDITIONS

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*Pricing and availability listed at our website cannot be guaranteed until a reservation has been confirmed. Pricing is subject to change without notice.