Medallion Club %

Agent Name*
Agent Email*
Travel Leaders Social Share
- I Verified my Agent Profiler is 100% Published
We are excited to share this new opportunity. Verify your Agent Profiler is 100% and then submit this form. We will email you details on how to apply for Social Share. Available for Platinum, Gold, and Silver members.
Marketing Bank Details - Platinum Only
If you are a Platinum Medallion Club member and are requesting your Marketing Bank reimbursement, share a few details about your advertising.
Copy of Receipt or Contract for Marketing Expense - Platinum Only
Max. file size: 64 MB.
Upload a receipt or invoice for your marketing reimbursement. This perk is only for Platinum members.
Select One Disney Gift - Platinum Only
- 30 Disney World Mickey Mouse Ears
- 30 Disney World Autograph Books
If you are a Platinum member, you can select one Disney Gift.
Delivery Address for Disney Gifts - Platinum Only
Street Address Address Line 2 City State ZIP Code