The DISNEY Magic Kingdom Club Application

Do you work in Public Radio? All Public Radio employees can enroll here for the FREE Magic Kingdom Club© Click here for a brief description of the benefits. Benefits begin upon receipt of Membership Card. Membership is good for two years.

Just complete the enrollment form and profile below. Your Magic Kingdom Club© Card and Membership materials will be on their way to you within three to four weeks.
Sorry, No expedited delivery is available.

MEMBERSHIP TYPE

I am an:

NPR Employee NPR Retiree NPR Member Station or other Public Radio employee

If NPR Member Station employee or other Public Radio System employee, please indicate the name of station or affiliated company here:

I will be applying:...
for a Magic Kingdom Club© Membership Card for the first time?
to replace an existing or expired Magic Kingdom Club© Membership card?

MEMBER NAME AND ADDRESS

Choose One (only one full name may appear on the Card.)

Mr Mrs Miss Ms

First Name (Only one full name may be printed on Card.)
Last Name (All family members use one card)
Address (Home address ONLY, NOT your business address)
Apt./Unit Number
City State Zip
Country
Home Phone Number
Email address

Disney always has special offers and news which you might enjoy.
If you do NOT want to receive any communication in the future about Disney Theme Parks or vacations, please check here.
If you do NOT want this survey information used for any other communication from Disney, please check here.

MEMBER PROFILE

Please answer the following questions as completely and accurately as possible.

1. How many times have you visited the Disneyland© Resort in California?
I've been there times in the last five years Never been

2. How likely are you to visit the Disneyland© Resort in California during the next two years?

Definately will Probably will Not sure
Probably not Definately not (Skip question 3)

3. When are you most interested in visiting Disneyland©?
Month Year

4. How many times have you visited the Walt Disney World© Resort in Florida since it opened in 1971??
I've been there times Never Been (Skip question 5)

5. What was the year of your most recent trip to the Walt Disney World© Resort in Florida?
Year

6. How likely are you to visit the Walt Disney World© Resort during the next two years?

Definately will Probably will Not sure
Probably not Definately not (Skip question 7)

7. When are you most interested in visiting the Walt Disney World© Resort?
Month Year

Extremely Interested Interested Not at All Interested

9. Please provide the year of your birth:

10. In what year(s) were your children under 18 born, if applicable:

No children under 18

11. Please check below if you are interested in a subscription to the Disney Magazine. This one-of-a-kind magazine is filled with news from the Theme Parks, movies, collectibles, contests and games. If you check neither, you will not receive a subscription.

Yes! Send me 8 issues (2 years) of Disney Magazine and bill me just $19.95. Money back guarantee.

No Thanks. I'd prefer NOT to subscribe to Disney Magazine at this time.

If you have any additional questions about your application, type them here: