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Shopping Order Form
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1
Is this a request for a pick or for your live shopping experience?
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Request from the Parks/Outlet
Live Shopping Experience
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2
Yay! We’ll sprinkle some pixie dust and start searching for your requested item once we receive a
$25 deposit per item
, which is collected before we head to the parks. You will be contacted within 48 hours to start your search. Our pickup fee structure is 30% per item with a $10 minimum service fee (on retail) plus tax and shipping.
YES
NO
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3
Full Name
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First Name
Last Name
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4
Phone Number
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5
E-mail
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example@example.com
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6
Delivery Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Afghanistan
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American Samoa
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The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
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Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
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China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
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Eritrea
Estonia
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Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
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The Gambia
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Germany
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India
Indonesia
Iran
Iraq
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Israel
Italy
Jamaica
Japan
Jersey
Jordan
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Kenya
Kiribati
North Korea
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Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
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eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
United States
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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7
Which shop is this from (if known)?
(ex: Disney Springs 6/29/25)
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8
Who was your shopper?
Kayla or Brittnee or Team
(ex: Disney Springs 6/29/25)
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9
Is this your 1st order with us?
*
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Yes
No
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10
Is this a new address since your last order?
*
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Yes
No
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11
Would you like to be added to our notifications for our live sales?
*
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Yes - outlets only please!
Yes - parks only please!
Yes - I want it all!
No thank you!
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12
Please list each item requested on a separate line. Include color, size, quantity.
*
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13
Want to add a little extra pixie dust? Choose a Mystery Item to surprise and delight! Just let us know your preferred value, type/character/ride/theme park and age of the recipient (minimum $10).
*
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14
Do you like the idea of being in a private and invite only group with 65+ Disney shopping locations include Disney themed craft fairs, Disney Cruise Line, vintage Disney stores and more?
*
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Yes please!
No thank you.
I'm already in the MAFIA! When is the next shop?
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15
Would you like to treat your personal shopper as a thank-you for carefully handling your order from start to finish — including shopping, pulling, packing with care, and ensuring it arrives safely?
*
This field is required.
Yes please - $5 (a soda/water in the park)
Yes please - $10 (pretzel, mickey bar, frozen lemonade)
Yes please - $20 (lunch or dinner at a Quick Service)
Yes please - $50 ("fancy" lunch or dinner at a local Disney restaurant)
No thank you!
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16
Would you like to join our cause in support our local monthly non-profit - Doug Flutie, Jr. Foundation for Autism and be entered to win a 30 minute private shopping experience with Brittnee?
*
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No thank you!
Yes please! Add a $5 donation towards this month's non-profit.
Yes please! Add a $10 donation towards this month's non-profit.
Yes please! Add a $20 donation towards this month's non-profit.
Yes please! Add a $50 donation towards this month's non-profit.
Yes please! Add a $100 donation towards this month's non-profit.
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17
Would you like to add insurance to your shipment?
Yes
No thank you. I understand that my package will only be insured for $50 through the post office. If something happens to my package, I will be responsible for filling a claim through the shipping service and that My Magical Disney Shopper will not help in the process (USPS, UPS, FedEx). I also understand that if there is damage, I am required, by the shipping carrier, to keep ALL packaging include packing paper, box, etc.
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18
Are you ready to ship or are you in the MAFIA?
I'm ready to ship my Disney magic!
I'm in the MAFIA!
I'm in the MAFIA but ready to ship my Disney magic!
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19
How will you be paying? Due to the rising costs of admin and credit card fees, instead of raising our fee structure, we are passing the cost of processing credit cards onto the buyer. You can avoid this fee by choosing Zelle or Venmo Friends and Family.
*
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Zelle (no fees)
Venmo Friends and Family (no fees)
Credit Card (additional 4% fee)
Venmo Goods and Services (3% fee)
PayPal (4% fee)
Sezzle - Pay in 4 Service (10% fee)
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20
What is your Zelle/Venmo name if using?
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21
Any special instructions?
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