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Lead guest email address:
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Your answer
Lead guest Name:
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Your answer
Payment amount (has to be greater than $20)
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Your answer
What kind of card would you like to pay with?
*
Disney gift card (please email me the gift card information)
Credit Card
What are the last 4 digits of the cc you'd like to pay with? (please make sure it is one of the cards we have on file. If it is a new card, email me so I can send you a new cc authorization form)
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I am authorizing Bridget Clay to make a payment in the amount stated above payable to Walt Disney Travel Company, Inc. using the credit card as indicated above.
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Yes, I agree.
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