Credit Card Payment Form
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1CREDIT CARD PAYMENT FORM
Needs to be completed & faxed to 407-363-7000 with corresponding reservation numbers and amounts.
Incomplete documents will not be processed.
DISNEY SPORTS TRAVEL
WALT DISNEY TRAVEL COMPANY
Phone: (407) 939-7810 / Fax: (407) 363-7000
Please complete the following information in order to have your credit card charged for payment. Credit Cards will be
charged at the time that the document is received.
The credit cards accepted by The Walt Disney Travel Co. Sports Travel are American Express, Master Card,
Visa, Discover, and Diners Club.
IMPORTANT: Most debit cards/credit cards have a pre-determined daily spending limit. If using a debit card;
please call your bank to verify and increase this limit if necessary prior to faxing in payment.
Team Name:
Event: POP WARNER SUPERBOWL
Reservation #: ______________ Name on reservation: _______________________ Amount to be charged:__________
Type of credit card:___________ Credit card #:_____________________________________ Expiration Date:_________
Cardholder’s Name:__________________________ Cardholder’s Address:____________________________________
Cardholder’s Signature: ____________________________________ Cardholder’s Phone #: ______________________
Reservation #: ______________ Name on reservation: _______________________ Amount to be charged:__________
Type of credit card:___________ Credit card #:_____________________________________ Expiration Date:_________
Cardholder’s Name:__________________________ Cardholder’s Address:____________________________________
Cardholder’s Signature: ____________________________________ Cardholder’s Phone #: ______________________
Reservation #: ______________ Name on reservation: _______________________ Amount to be charged:__________
Type of credit card:___________ Credit card #:_____________________________________ Expiration Date:_________
Cardholder’s Name:__________________________ Cardholder’s Address:____________________________________
Cardholder’s Signature: ____________________________________ Cardholder’s Phone #: ______________________
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Parent category: Business