2013 Disney Magic Request Form
Cruise Information

Cruise

Number Of Rooms Requested 1 or 2

     Preferred Dinner Seating     

Contact Information

First Name

 Last Name

Email Address

Confirm Email Address

Street Address

 Street Address 2
City State/Province
Zip/Postal Code Work Phone
Home Phone Cellular Phone
Stateroom 1 (View Deck Plan)

Stateroom Category 

Do you have an existing booking such as an onboard booking to transfer to this sail date? 

If Yes, what is the reservation number.
Passenger 1 Information

First Name

Middle Initial

Last Name

 Date of Birth
Citizenship Gender:

Number of times sailed on Disney Cruise Line.
Passenger 2 Information

First Name

Middle Initial

Last Name

 Date of Birth
Citizenship Gender:

Number of times sailed on Disney Cruise Line.
Passenger 3 Information

First Name

Middle Initial

Last Name

 Date of Birth
Citizenship Gender:

Number of times sailed on Disney Cruise Line.
Passenger 4 Information

First Name

Middle Initial

Last Name

 Date of Birth
Citizenship Gender:

Number of times sailed on Disney Cruise Line.
Passenger 5 Information

First Name

Middle Initial

Last Name

 Date of Birth
Citizenship Gender:

Number of times sailed on Disney Cruise Line.

Credit Card
Providing a credit card number for your deposit will help streamline the booking process.  We will not charge your card without emailing you the new reservation and getting your approval to charge the card.

If you have a credit card on file that you would like to use for the deposit please provide the following: 
Last Four Digits of Credit Card on File:  
Expiration Date:  

 

Other Information
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