EmailMe Form - Kristy Klaiber | Quote Request Form

Trip Description
(Walt Disney World, Disney Cruise Line, Universal, etc) *

Date Travel Starts *

MM / DD / YYYY

Date Travel Ends *

MM / DD / YYYY

Number of Adults *

Number of Children *

Ages of Children at time of travel *

Your Name *

First Middle Last Suffix

Gender (if cruising)

Male

Female

Date of Birth (if cruising)

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone *

### - ### - ####

Email *

Preferred Communication

Phone Call

Email

Additional Passenger Names

(Names of each guest is required to receive guaranteed pricing for theme park vacations. Dates of birth and gender are required for Disney Cruise Line. Without this information, I cannot secure pricing or availability for you.)

2.

First Middle Last Suffix

Male

Female

Date of Birth

3.

First Middle Last Suffix

Male

Female

Date of Birth

4.

First Middle Last Suffix

Male

Female

Date of Birth

5.

First Middle Last Suffix

Male

Female

Date of Birth

6.

First Middle Last Suffix

Male

Female

Date of Birth

Special requests:

Enter N/A in the box if these don't apply to you. *

Are you celebrating a special event? (Birthday, Anniversary, First Visit, etc)
If cruising, do you prefer an interior, oceanview, balcony or concierge stateroom?
If theme parks, do you have a particular resort hotel or resort pricing category (value, moderate, deluxe) in mind?
If theme parks, do you want to visit more than one theme park per day? Are you interested in adding water park(s) to your package?
Disney & Universal are separate destinations. Did you want to visit both on the same visit? If yes, how many days at each?
If you need more than one room or stateroom, please detail the number of adults & children (with ages) in each room.

You may provide additional details that may help me personalize your quote and provide recommendations
(ie: favorite Disney character, specific resort location, etc.)

Agent Disclosure *

I acknowledge - Agent Disclosure

- No additional agency fees are added to your quotes.

- Take Me Away Travel books Disney destinations with Walt Disney Travel Company and Universal vacations with Univeral Parks & Resorts so that you receive the same perks and pricing as booking direct.

- All pricing & availability is subject to change until a secure hold is place on my behalf and/or deposit is submitted. You will be given a confirmation, travel insurance options and the travel supplier's terms & conditions before any payments are processed.

- Once booked, Take Me Away Travel provides discount monitoring, itinerary planning, payment processing & reminders of important dates, and sharing tips and recommendations to help you maximize your Disney and/or Universal vacation experience.