Request Trip Modification - Pixie Dust & Pirate Hooks

Please answer the applicable questions below to ensure proper permission is obtain to modify your current vacation booked with your Travel Specialist.

Reservation Number

Do you wish to change your current reservation dates?

Yes

If so, please enter your desired travel date modification below.

Do you wish to modify your current travel party?

Yes

If so, please provide the full name and date of birth of any additional guest or please specify which travel guest will be removed.

Do you wish to change your current resort/hotel?

Yes

If so, please enter your desired hotel/resort preference for modification.

I wish to add in special extras to my current vacation package. For example tickets, special ticketed events, ticket add-ons, photo packages, excursions, spa treatments, specialty dining, in-room celebrations, etc.

Yes

Please list all special extras below along with the dates you would like to experience them.

If your modification requires an immediate payment, which payment method would you like to use?

Card on File

New Form of Payment

Gift Card or Rewards Card

Amount You Wish To Pay

Payment Date

If paying with a card not on file, please enter your new Credit Card Information: Your Travel Specialist will contact you for the full credit card information. A receipt will be emailed to you when payment has been applied. Please print this page for your records.*

Last 4 of Credit Card Number

Expiration Date

CVC

PLEASE NOTE: If you are paying with a Disney Gift Xard, we require that you consolidate all cards on www.disneygiftcards.com. Disney Gift Cards can be consolidated up to $1000 each. Please maintain possession of the gift cards. In the event you have to cancel you vacation, all payments will be refunded to the original form of payment.

If using a Disney Gift Card or Reward Card, please enter the number(s)

By completing and submitting this form you give your Travel Specialist permission to modify your current reservation in the manner in which you specified. Please note that some modifications will change the price of your current vacation package, require an additional payment or a change fee. Your Travel Speicalist has discussed these circumstances with you and by agreeing to these terms you are aware of all changes and fees, if applicable that will be applied to your current reservation.

Yes, I agree to the above terms.

Please contact me to discuss these terms.

As you are aware, your Travel Specialist provides a high level of expertise, ease of access, and much-added value to your vacation experience. If you would like to send some "pixie dust" to your agent as a special thank you, please use the link below.

Travel Professional Gratuity

Pay now

Authorize Payment (if applicable)

I authorize Pixie Dust & Pirate Hooks to provide my credit card/payment to the supplier for my booking.

*An updated confirmation will be emailed to you when your modification has been applied. Please print this page for your records.*