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DISNEYANA CONVENTION RESERVATIONS
First Name:
Last Name*:
Password*:
You will use this password to access your reservation information on line. Please choose a password you will easily remember.
Address 1:
Address 2:
City:
State:
Postal Code:
Country:
Daytime Phone*:
Evening Phone:
E-Mail address*:
PLEASE double check this address before submitting this form! If your email address is incorrect, we will not be able to contact you. (i.e. yourname@yourhost.com)
First choice Resort:
All-Star Music
Contemporary (Garden Room)
Contemporary (Tower Room)
Grand Floridian
Second choice Resort:
All-Star Music
Contemporary (Garden Room)
Contemporary (Tower Room)
Grand Floridian
Third choice Resort:
All-Star Music
Contemporary (Garden Room)
Contemporary (Tower Room)
Grand Floridian
Arrival Date*:
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/
(mm/dd/yy)
Departure Date*:
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/
(mm/dd/yy)
Number of Adults:
Number of Children (ages 3 - 17):
Please tell us the ages of the children
(ex. 3, 7, 10):
Smoking Room needed?
No
Yes
Are any members of your trip disabled?
No
Yes
Please enter the first names of everyone in your party, and specify any special requests you may have:
If your arrival dates are flexible, please tell us the date ranges that you can ARRIVE (ex. 8/14/99 - 8/30/99)*:
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thru
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