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Your
Name
*
( first,
last )
Email
*
Daytime
Phone
Number
*
Evening
Phone
Number
*
Best
Time to
Contact*
How did
you find
us?
Are you looking for group rates? ( 8 or more cabins )
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Please
check
that you
have
entered
your
e-mail
address
correctly.
An
incorrect
e-mail
address
will
result
in no
response.
When do
you plan
to
cruise?
Check at
least
one
month
*
2012
2013
Tell
us the
destination,
number
of
days you
want to
cruise
and the
specific
date. *
Destination:
Number
of days:
Sailing
or
Travel
Date:
If you
are
interested
in a
Walt
Disney
World
Resort©
Vacation
without
a cruise
use the
"Notes"
box to
communicate
your
request.
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How many
are in
your
party?
*
Where
are you
traveling
from?
Nearest
gateway
(airport
city )
*
Disney
Cruise
Line©
Type of
Stateroom
(cabin )
you
prefer?
*
Number
of
Staterooms*
Have You
Sailed
With
Disney
Cruise
Line©
Before?
We can
plan
most
cruises
to fit
your
schedule,
budget
and
lifestyle/activity
interests.
Please
tell us
what
else you
would
like
from
your
Disney
Cruise
and/or
Resort
Vacation.
Such
as...
-
Extra
nights
at
Walt
Disney
World?
-
A
Walt
Disney
World©
Vacation
combined
with
a
cruise?
-
A
Walt
Disney
World©
Vacation
combined
without
a
cruise?
-
Family
Reunion
Package?
-
Honeymoon
Package?
..or
just
about
anything
we
haven't
mentioned.
Notes:
CASTAWAY
CLUB
ID
NUMBER
(For
special
rates
for past
guests )
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