Patricia Mickus – Request a Quote Simple Luxuries Travel Quote Form - Patricia Mickus Patricia Mickus quote request form Name* First Last Email* PhoneNumber of Adults (18+) at time of travel*123456Number of Children (10-17) at time of travel*0123456Number of Children (3-9) at time of travel*0123456Number of Children (0-2) at time of travel*0123456Check in date* Date Format: MM slash DD slash YYYY Check out date* Date Format: MM slash DD slash YYYY What type of vacation are you looking for*Walt Disney WorldCruiseAll Inclusive ResortOtherHow many rooms do you need?*1234+Check for PIN CodeYesNoWould you like for us to check to see if you have any direct marketing PIN code discounts available from Disney? In order to do so, we will need your mailing address. This information will not be shared in any way, for any reason, and will be used only for the purpose of checking for PIN code discounts.Enter mailing addressDo you know what Disney resort(s) you are interested in?Yes, I know which resort(s) I would like more information on.I know which resort cateogory/categories I would like information on but I would like recommendations for specific resorts.I’m not sure. Please make a few recommendations for me.Select the resort category or categories you are interested in:Value ResortsModerate ResortsDeluxe ResortsDeluxe VillasCampgroundsPlease tell us a little more about what destination(s) you are thinking about!Please select the resort(s) you are interested in. Select all that apply (a maximum of 4, please).All Star Movies (value)All Star Music (value)Art of Animation (value)All Star Sports (value)Pop Century (value)Caribbean Beach Resort (moderate)Coronado Springs Resort (moderate)Port Orleans French Quarter (moderate)Port Orleans Riverside (moderate)Fort Wilderness Resort and Campground (moderate)Animal Kingdom Lodge (deluxe)Beach Club (deluxe)Boardwalk Inn (deluxe)Contemporary (deluxe)Grand Floridian Resort and Spa (deluxe)Polynesian (deluxe)Wilderness Lodge (deluxe)Yacht Club (deluxe)Animal Kingdom Lodge – Jambo House (deluxe villa)Animal Kingdom Lodge – Kidani Village (deluxe villa)Bay Lake Tower (deluxe villa)Saratoga Springs Resort and Spa (deluxe villa)Old Key West Resort (deluxe villas)Please enter any specific resort requests.Do you need to purchase theme park tickets?YesNoHow many days do you plan to visit one of Disney's 4 major theme parks?12345678910Do you plan to park hop; to visit more than one of the 4 major theme parks on the same day?Yes, I know for sure we will park hop.No, I will visit only one theme park per day.I’m not sure yet. It will depend on our itinerary. Please make a recommendation for me.Do you plan to visit the water park, ESPN Wide World of Sports or play a round of golf?Yes, multiple times.Yes, once.Not on this visit.I’m not sure yet.Do you know what vacation package(s) or dining plan(s) you would like information on?Yes, I know exactly what package(s) I am interested in.No, please make recommendations for me.Select the vacation package(s) or dining plan(s) you are interested in:Magic Your Way Package (no dining plan)Quick Service Dining PlanDisney Dining Plan (most popular option!)Deluxe Dining PlanPremium Package (NOTE: this package is not eligible for discounts)Platinum Package (NOTE: this package is not eligible for discounts)Which best describes how your family will likely dine while on vacation:We plan to have one nicer, sit down meal per day.We plan to have an average of two or more nicer, sit down meals per day.We may have one or two sit down meals during the vacation, but most of our meals will be quick service meals.There is too much to see and do! We don’t want to spend much time in restaurants.Do you need transfers to and from the Orlando airport?No, we do not need transfers.Yes, we would like to use Disney’s Magical Express service.Yes, we would like a rental car.Yes, we would like a town car.Yes, we would like a limo.Are you looking for information about a specific cruise line?What port would you like to sail out of?Where would you like to cruise to (i.e. - Bahamas, Caribbean, Alaska, etc)Are there any ports of call that you know you would like to see on your itinerary?What length of cruise are you looking for?3-5 nights6-9 nights10+ nightsAnyWhat type of stateroom are you looking for?InsideOceanview (porthole)Balcony/VerandahSuiteI am not sureWhat destination are you looking for?Are you looking for a couples only resort?YesNoNo preferencePlease tell us any other information that may help us in finding the perfect resort for you. (For example - golf course on site, great diving, supervised kids clubs)Would you like for us to include vacation insurance with your quote?Yes, I do want vacation insurance.No, I decline to purchase vacation insurance at this time.Please quote with and without insurance.Is there anything else you feel we should know? Special needs, celebrations, requests, questions etc.How did you find us?Search EngineReferred by a friend (please tell us who to thank)Email NewsletterFacebookOther (Please Specify)Please tell us who to thank for the referral!Other way of finding us!Would you like to be kept up to date on news, tips and special offers?Yes, please.No, thank you.