subject_line
info@goldgellgetaways.com * www.goldgellgetaways.com * 631-246-1092
Goldgell Getaways
FREE Vacation Planning
Title:
Mr.
Mrs.
Ms.
Miss
Mstr
First Name
*
Last Name
Suffix
Jr.
Sr.
II
III
IV
Email Address:
*
Phone Number:
Address:
Address:
City:
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code:
Depart: DD/MM/YY
Return: DD/MM/YY
Adult
1
2
3
4
5
6
Child
1
2
3
4
5
6
Rooms
1
2
3
4
5
6
Connecting?
Yes
No
*You MUST list ALL Passenger's First & Last Names and all DOBs if you would like an accurate quote:
Interests:
Cruises, Sailing & Water Tours
Food, Wine & Nightlife
Luxury & Special Occasions
Museums
Outdoor Activities
Shopping & Fashion
Shore Excursions
Shows, Concerts & Sports
Theme Parks
Tours & Sightseeing
Walking & Biking Tours
Water Sports
Water Sports
Any food allergies?
Any Disabilties?
Any Celebrations?
Your Agent's Name:
To Contact Us:
Disney Room Type:
Value
Moderate
Deluxe
Club Level
Suite, 1 bedroom
Suite, 2 bedroom
Villa, Studio
Villa, 1 bedroom
Villa, 2 bedroom
WDW Ticket Days:
3 Day Base
3 Day Hopper
4 Day Base
4 Day Hopper
5 Day Base
5 Day Hopper
Other
Other
Memory Maker:
Yes
No
Maybe, more info please!
Travel Ins:
Yes
No
Maybe, more info please!
Add-Ons:
Air
Airport Transfers
Car Rental
Special Event tickets
Stroller Rental
Theme Park Tickets
Wheel Chair/Scooter Rental
Magical Express
Other
Other
Land Vacations
All-Inclusive
Yes
No
Desired Destination:
Bahamas
Canada
Caribbean
Central America
Europe
Mexico
South Pacific
Southeast Asia
U.S. Destinations
BUSCH GARDENS
SEA WORLD
SESAME PLACE
UNIVERSAL STUDIOS
Other
Preferred Hotel?
Resort Room Type:
Double/Queen
King
Studio Suite
1 Bedroom Suite
2 Bedroom Suite
Villa
Rollaway Bed
Pack-n-play/crib
Add-Ons:
Air
Airport Transfers
Car Rental
Dining Plan
Stroller Rental
Theme Park Tickets
Wheel Chair/Scooter Rental
Other
Other
Cruise Vacations
Cruise Lines:
AmaWaterways
Azamara
Carnival
Celebrity
Costa
Crystal
Cunard
Disney
Holland America
MSC
Norweigan
Oceania
Princess
Regent Seven Seas
Royal Caribbean
Seabourn
SilverSea
Viking Ocean
Viking River
Windstar
Desired Destination:
Bahamas
Canada
Caribbean
Central America
Europe
Mexico
South Pacific
Southeast Asia
U.S. Destinations
Other
Type:
Ocean Cruise
River Cruise
Both
Stateroom:
Inside
Ocean View
Balcony
Suite
Resident:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Preferred Ports:
Travel Insurance:
Yes
No
You may qualify for a discount:
US Military
US Fireman or EMT
US Law Enforcement
55+
Add-Ons:
Air
Beverage Packages
Cruise Port Transfers
Gratuities
Internet Package
Pre/Post Hotel
Shore Excursions
Spa Treatments
Specialty Dining Packages
Stroller Rental
Wheel Chair/Scooter Rental
Other
Other
*All pricing and availability subject to change until a deposit is placed