Affiliate Application  - Disney Earmarked Travel Agency

Please complete all information. Applications with missing information will not be considered. All information is kept strictly confidential.

Name: 
Address:
City:
State:      Zip Code:
Phone Number:  
When would be a good time to contact you?

Email Address:
Please enter your email address again:

Are you employed now?    If so, what is your position?

Do you have travel agent/agency experience?    

If so, please tell us about it
Do you plan on working as an affiliate full time or part time?
What date would you be available to start?
Do you have a criminal record?    If so, please explain
Do you have and use Microsoft Outlook Email Program?
Do you have a fax line, fax machine or efax? 
Have you ever taken an Adventures by Disney vacation?  Yes   No   If so, which destination
How many times have you been to Walt Disney World?
When was your last to WDW visit?
Which resorts have you stayed at
How many times have you been to Disneyland?
When was your last visit to DL?
Which hotels have you stayed at
How many times have you cruised?
How many times have you cruised on the Disney Cruise Line?
When was your last cruise vacation?
How did you hear about us?
Can you speak Spanish?  Yes   No 
Can you read Spanish?    Yes   No 
Can you write Spanish?    Yes   No

What online Disney Communities do you actively participate in and what are your user names?

Comments

 

By typing your name above you certify that the information contained in this application is correct and complete to the best of your knowledge. You understand that any misrepresentation or omission of information on this application may be sufficient cause to disqualify you from consideration, and could cause you to be terminated if accepted. Your typed name shall be treated as your legal signature.