WDW Ticket Order Lead Guest Name* First Last Phone*Email Used for My Disney Experience Account:* Password for My Disney Experience Account:* Quoted Amount* Describe Ticket Type:* Ex. 4 Day HopperDate of Ticket Activation:* MM slash DD slash YYYY List All Guests Names & DOB:Name of Travel Agent:* Would you like to add Memory Maker for $185? Includes digital downloads of all pictures taken.* Yes No Credit Card Information for PaymentName on Card* First Last Billing Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Card Type*Choose OneDisney VisaVisaMastercardDiscoverAmerican ExpressCard Number* Expiration Date* Total Amount to be Charged?* * Tickets must be paid in full at time of purchase.Any additional comments?I understand that tickets are nonrefundable and nontransferable.* Yes I understand that Park Pass Reservations are needed to enter the parks and authorize A Pair of Ears Travel LLC to make a payment on my behalf.* Yes I authorize APOET to charge the above-referenced card in the amount stated above and by authorizing this charge, I am agreeing to APOET's Terms and Conditions of Booking, which are located by clicking here, including the agency’s and principal supplier policies cancelation and refund policies, which may limit my right to a refund in the event that I choose to cancel or change my plans.Do you agree?* Yes