Credit Card Authorization Form

PLEASE NOTE - Your card will not be charged when you click Submit at the bottom of this form. If you are submitting a payment outside of normal business hours (M-F 9am-5pm CST), please reach out to your agent to alert them of your submission. Your payment may not be processed until the next business day.
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THIS FORM WILL NOT PROCESS YOUR CREDIT CARD

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Please list first & last names of each person in the travel party. Please list kids ages next to their names. Please also list any celebrations. If you are booking a Disney Cruise Line, Sandals or Beaches, or any cruise line package, please include each person's full legal name as it appears on birth certificate, drivers license or passport, & date of birth. Names entered here must match proof of citizenship at time of travel.

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Would you like Vacation Protection Insurance?

Vacation Insurance is non-refundable & can be added anytime before final payment is placed.

  • Hurricane Season is June 1 - November 30. Please consider this when making your decision to purchase travel protection.  Once a storm is named, it's too late for policies to cover your vacation.
  • Not all policies are "Cancel for Any Reason"
  • Since we are not licensed Insurance Agents, we can only refer you to our Insurance Provider Partners to discuss coverage options.  We can provide policy options & quotes, however.

Walt Disney World Policy $82.50 per Adult; $6.00 per Child (Infant to Age 17) (we also recommend this policy)
Disneyland Resort Policy $75.50 per Adult; $5.50 per Child (Infant to Age 17) (we also recommend this policy)
Disney Cruise Line Policy is 8% of cruise fare
Aulani Policy $93.50 per Adult; $6.50 per Child (Infant to Age 17) 
Adventures by Disney Policy (inquire for pricing)
Universal Orlando Resort Policy (inquire for pricing)
All Inclusive Resorts, Cruises & Land Tours (inquire for pricing)

We are also partnered with:
Travel Insured or AIG Travel Guard Travel Insurance Companies. You may click on their links to obtain pricing for each.

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Would you like to add on the Memory Maker Photo Package for $169 (added to package total)?

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Would you like to Pre-Pay your Gratuities?

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For Walt Disney World Packages, please confirm below {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Are you driving or flying? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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If you are departing on a cruise, we highly advise you arrive to your port a day ahead. Flight delays & cancellations may cause you to miss your cruise departure.

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Please list inbound & outbound: Airline | Flight Number

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What type of card is this? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Please be advised: Most Debit Cards have a daily charging limit - please check with your financial institution before entering

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If you are choosing to pay with multiple Disney Gift Cards, please combine them at https://www.disneygiftcard.com. There's instructions on how to do this here: https://youtu.be/-EHwxJbeRQI

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Please enter the last day of the expiration month for the "day" entry.

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If using a Disney Rewards Card as payment, please enter DRC

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If we are using a card on file, please enter the last 4 digits of that card here.

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Disney Vacations:  If you already have an account, please enter your My Disney Experience login criteria in this box.  We will need your username & password in order to facilitate your Disney planning within that platform.

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Credit Card Authorization Form

The email has been sent.

Your progress has been saved.

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Credit Card Authorization Form

PLEASE NOTE - Your card will not be charged when you click Submit at the bottom of this form. If you are submitting a payment outside of normal business hours (M-F 9am-5pm CST), please reach out to your agent to alert them of your submission. Your payment may not be processed until the next business day.

THIS FORM WILL NOT PROCESS YOUR CREDIT CARD

Reason for your submission {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Please choose your vacation type {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Would you like Vacation Protection Insurance?

Vacation Insurance is non-refundable & can be added anytime before final payment is placed.

  • Hurricane Season is June 1 - November 30. Please consider this when making your decision to purchase travel protection.  Once a storm is named, it's too late for policies to cover your vacation.
  • Not all policies are "Cancel for Any Reason"
  • Since we are not licensed Insurance Agents, we can only refer you to our Insurance Provider Partners to discuss coverage options.  We can provide policy options & quotes, however.

Walt Disney World Policy $82.50 per Adult; $6.00 per Child (Infant to Age 17) (we also recommend this policy)
Disneyland Resort Policy $75.50 per Adult; $5.50 per Child (Infant to Age 17) (we also recommend this policy)
Disney Cruise Line Policy is 8% of cruise fare
Aulani Policy $93.50 per Adult; $6.50 per Child (Infant to Age 17) 
Adventures by Disney Policy (inquire for pricing)
Universal Orlando Resort Policy (inquire for pricing)
All Inclusive Resorts, Cruises & Land Tours (inquire for pricing)

We are also partnered with:
Travel Insured or AIG Travel Guard Travel Insurance Companies. You may click on their links to obtain pricing for each.

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Passenger 1 Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Passenger 1 Date of Birth {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Passenger 2 Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Passenger 2 Date of Birth {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Passenger 3 Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Passenger 3 Date of Birth {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Passenger 4 Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Passenger 4 Date of Birth {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Passenger 5 Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Passenger 5 Date of Birth {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Passenger 6 Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Passenger 6 Date of Birth {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Would you like to add on the Memory Maker Photo Package for $169 (added to package total)?

Add Memory Maker? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Would you like to Pre-Pay your Gratuities?

Add Gratuities? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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For Walt Disney World Packages, please confirm below {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Are you driving or flying? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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If you have flights booked, please list them below {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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What type of card is this? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Card Type {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Name as it appears on card {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Credit Card Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Expiration Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Security Code {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Amount Authorized to be Charged {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Confirmation Number or Check In Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Can your travel planner use this card to book select dining reservations and other special requests? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Please enter any special instructions here {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Signature {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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SSL site seal - click to verify