General Motors EMPLOYEE-WALT DISNEY WORLD Ticket Order Form

12% Program

 

BILL TO:

 

 

SHIP TO:

 

 

Name:

 

 

Name:

 

 

Address:

 

 

Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Work Phone:

 

 

 

 

 

Phone:

 

 

Phone:

 

 

Credit card #

 

Exp.

Tickets needed by:

 

 

Auth. Signature:

 

 

Member #

736548         Prices effective 8/6/06

 

TICKET DESCRIPTION    Multi Day Passes expire 14 days from date of first use.

QUANTITY

PRICE

SUBTOTAL

1 Day Magic Your Way (age 10+)

AJP03

 

$62.80

 

1 Day Magic Your Way (age 3-9)

AJP13

 

$52.49

 

3 Day Magic Your Way Hopper (age 10+)

CKP03

 

$222.12

 

3 Day Magic Your Way Hopper (age 3-9)

CKP13

 

$192.13

 

4 Day Magic Your Way Hopper (age 10+)

DKP03

 

$231.49

 

4 Day Magic Your Way Hopper (age 3-9)

DKP13

 

$199.63

 

5 Day Magic Your Way Hopper (age 10+)

EKP03

 

$235.24

 

5 Day Magic Your Way Hopper (age 3-9)

EKP13

 

$200.57

 

5-Day Magic Your Way w/Hopping, Water Park Fun & More (age 10+)

EMP03

 

$282.12

 

5-Day Magic Your Way w/Hopping, Water Park Fun & More (age 3-9)

EMP13

 

$247.44

 

6- Day Magic Your Way w/Hopping, Water Park Fun & More (age 10+)

FMP03

 

$283.99

 

6- Day Magic Your Way w/Hopping, Water Park Fun & More (age 3-9)

FMP13

 

$249.31

 

7 Day Magic Your Way (age 10+)

GJP03

 

$196.82

 

7 Day Magic Your Way (age 3-9)

GJP13

 

$162.14

 

7- Day Magic Your Way w/Hopping, Water Park Fun & More (age 10+)

GMP03

 

$285.86

 

7- Day Magic Your Way w/Hopping, Water Park Fun & More (age 3-9)

GMP13

 

$251.19

 

ALL SALES ARE FINAL; NO REFUNDS

Prices include Florida sales tax and are subject to change without notice.

Please fax completed form to 407-827-0139.

Please note that Customs may delay international orders.

Sub total:

 

Express Shipping $10

 

Total:

 

 


Each ticket order is sent to you directly from the Walt Disney World Company. Please allow four weeks for delivery of tickets sent by mail. Tickets mailed by express shipping will incur a service charge of $10.00 and will arrive within five business days of Walt Disney World Ticketing receiving the order.  Tickets will be mailed to the address indicated on this form. These tickets cannot be resold and must be used by GM employees and their dependents. You are limited to twenty tickets per calendar year per employee. For additional information on resort reservations, you may call (407) W-Disney or your travel agent.


Employment Verification (Administration Use Only): DO NOT WRITE IN THIS AREA

 

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GM Test Track Rep. Name (print)                Phone                          Signature                                            Date