Walt Disney World APSMA 30th Annual Conference - Resort Room Request
This form collects customer information for 2020 Disney travel requests
Email address *
Today's Date *
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Travel Dates *
Your anticipated dates to stay at Disney's Contemporary Resort
Your answer
APSMA Member Name & Title *
Your answer
Work Phone Number *
Please indicate if this is a cell phone or work line
Your answer
Additional Phone Number to contact you
Please indicate if these are cell phone, home line or work numbers
Your answer
APSMA Member personal email address
If you have a Disney account, please indicate that email address here, if different than email address above
Your answer
Full Work Address *
Your answer
Full Home Address *
Your answer
Date of Birth (DOB) of APSMA Member *
Year 2020 defaults, please change to correct year
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Full Name of 2nd person in the room
Your answer
Date of Birth (DOB) of 2nd person
Year 2020 defaults, please change to correct year
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Full Name of 3rd person in the room
Your answer
Date of Birth (DOB) of 3rd person
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Full Name of 4th person in the room
Your answer
Date of Birth (DOB) of 4th Person
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Any additional Guests, indicate if they need a separate room
Your answer
Would you like tickets to the theme parks? How many would you like? You will receive a flyer with discounted rates for conference attendees and their guests. *
Will you be using the Complimentary Disney Magical Express, transportation from Orlando International Airport directly to Disney's Contemporary Resort and return back to the airport after checkout? *
Would you like a Memory Maker? Memory Maker is a photo pass option that captures all the photos taken of your family while at Disney for you to download at any time (up to a designated date after your trip). The Memory Maker is an additional cost of $169 purchased up to 3 days prior to arrival, or $199 if purchased after that. *
Any other questions or concerns, please list here.
Your answer
I will be calling you to get your credit card information. Please do not indicate any numbers here. The deposit is $336.38 and will be charged when I register you, This includes up to 2 adults in the room (children are free, more adults than 2 are $35 ea added cost per night). Please indicate which number is best to call you at: *
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