To book your reservation, please complete the following:

Arrival date:_____________________ Departure date:________________________

Number of Adults:________________ Number of Children:_______________ Hotel:________________

Reservation to be booked under:

Name:____________________________________________ Phone:____________________________

Address:_______________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

Email: ____________________________________________________________________________________

Full name and address of each additional person staying in the same room (and age if under 18):

Name:____________________________________________ Phone:____________________________

Address:______________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

Name:____________________________________________ Phone:____________________________

Address:______________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

Name:____________________________________________ Phone:____________________________

Address:______________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

Total Package Price $____________________

Additional Nights $____________________

Less Annual Pass Discount $____________________

($95 per adult or junior, $55 per child)

Less Deposit $____________________

Balance Due $____________________

A deposit of $300 is required to secure your reservation. Final payment for all reservations is July 27, 2001. Cancellations must also be received by July 27, 2001. Reservations that are canceled after this time will forfeit the $300 deposit.

METHOD OF PAYMENT

_____ Enclosed is a check or money order made out to Walt Disney Park & Resorts, LLC.

AMEX _____ Visa _____ MC _____ Disney _____ JCB _____ Diner's Club _____ Discover _____

Credit card number: ____________________________________________________________

Exp. date: _______________

Name on card: ____________________________________________________________________

Signature: _______________________________________________________________________

Billing Address (If different from mailing address above): _______________________

Amount authorized to be charged: __________________________________________________

To submit your reservation, please send your completed form to the following address by mail or fax:

Walt Disney Event Services
Official Disneyana Convention
Post Office Box 10345
Lake Buena Vista, FL 32830

To register by phone or for more information, call us at:
(407)827-7600

Or fax it to:
(407)566-1387

Or contact us by e-mail at:
WDW.Disneyana.Convention@Disney.com