Shades of Green
®
on WALT DISNEY WORLD
®
Resort a
n Armed Forces Recreation Center
Post Office Box 22789, Lake Buena Vista, Florida 32830-2789 (407) 824-6191 (407) 824-2100 (fax)
“Serving Those Who Serve”
AMIM-WRH-S-AT
MEMORANDUM FOR RECORD
SUBJECT: Advanced Ticket Order Form
Last Name: First Name: Rank/Status:______
By submitting this request you certify the above information is true and that you are currently Active Duty, a Retired
member of the United States Armed Forces, Department of Defense Civilian employee, the current spouse of an
Active Duty, Retired, or Reservist in Active status, have a VHIC identification card. It is a federal offense (818 USC
Sec. 1343) to wrongfully obtain government services/privileges under false pretenses, which is punishable by fines
and imprisonment for up to 20 years.
Please fill in the below information and email to advancedtickets@shadesofgreen.org or fax to (407)824-2100.
All
ticket sales are non-refundable and non-transferrable.
Shades of Green is not responsible for lost or stolen
tickets.
Park Ticket
Number
of
Tickets
Price Per Ticket
Total Amount
Example: 4-Day Park Hopper Military Promotional Ticket
2
$ 291.75
$ 583.50
Shipping Fee
$12.00
Total Due
It is your responsibility to verify eligibility to purchase tickets based on your status.
Tickets are non-refundable.
I, ____________________________ confirm that I am the Eligible Service Member or spouse and authorize
Shades of Green’s Attraction Sales Office to charge my credit card for the amount listed above.
Contact number: Best time to call: _______________
Physical Signature: _________________________________ Date: __________________
(Digitally signed using your CAC is acceptable)
For additional information about Walt Disney World, Universal Orlando, SeaWorld Orlando please visit the
following websites:
www.waltdisneyworld.com www.universalorlando.com www.seaworldorlandolcom
For Office Use Only:
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 12.00