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Card Issued by (Travel Partner Name)
*
Name of Person Completing this Form
*
Email Address of Person Completing this Form
*
(This Email will only be used for followup and resolution details if applicable)
Is the Travel Partner Liason for Follow Up the Same Person that Completed this Form?
*
Yes
No
Travel Partner Liaison Contact Name
*
Travel Partner Liaison Contact Email
*
First Name of Guest
Last Name of Guest
*
Guest Travel Start Date
*
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
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Year
Year
2023
2024
2025
2026
Type of Card Used
*
Kids Eat Free Card PLUS Orlando
Kids Eat Free Card GOLD
Play 4Less Card Orlando
VIP Shop Dine 4Less Card Orlando
VIP Shop Dine 4Less Card New York
VIP Shop Dine 4Less Card Las Vegas
VIP Shop Dine 4Less Card GOLD
Im a Big Deal Card
Florida Packed Pass
Florida Fun Card
SmartSIM USA Lime Green Card
SmartSIM USA Valencia Orange Card
OTHER
Version of Card
*
Physical Card
eCard Print at Home
iCard Mobile App
Brief Description of Guest Concerns
*
Please be as detailed as possible to aid us in providing the most accurate assessment of the guest's concerns. Include names of staff, time of visit, address/location of venue or other relevant information if known.
Date Customer Concern Occured (Approximate if Unknown)
*
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
3
4
5
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Year
Year
2023
2024
2025
2026
Name of Participating Venue(s) Visited
*
File Upload 1
Upload any receipts, images of card, screenshots, videos, photos or other relevant files that may help aid us in assisting the guest. (20mb maximum per file and must be one of these formats: gif, jpg, png, txt, pdf, doc, docx, avi, mov, mp3, ogg, wav)
Files must be less than
20 MB
.
Allowed file types:
gif jpg jpeg png txt pdf doc docx avi mov mp3 ogg wav
.
File Upload 2
Files must be less than
20 MB
.
Allowed file types:
gif jpg jpeg png txt html pdf doc docx avi mov mp3 ogg wav
.
File Upload 3
Files must be less than
20 MB
.
Allowed file types:
gif jpg jpeg png txt html pdf doc docx avi mov mp3 ogg wav
.
May Guest Be Contacted Directly?
*
Yes
No
Guest Email
*
Guest Primary Phone Number
Is Guest Still In Resort?
*
Yes
No
Date of Guest Departure from Resort?
*
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
3
4
5
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30
31
Year
Year
2024
2025
Address of the Guest while in Resort
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