Name *
Name
Phone *
Phone
Leave blank if you don't know your reservation number
$
Type of Card *
If Disney gift card, select OTHER
Name on Card *
Name on Card
If Disney Gift Card, just enter your name
3 numbers on the back of the card for Visa, MasterCard, and Discover - 4 numbers on the front for AmericanExpress
Billing Address
Billing Address
I give Kimberly Hill/Mouse Tales Travel my permission to charge this card for travel services and/or reservations. *