PLEASE FILL OUT AS ACCURATELY AS POSSIBLE ** indicates required information
Agent Date/Time
Owner/Personal Information
Owners Name
Address
City
State
Postal Code
Country
Home Phone
Work Phone
Fax
E-Mail **

Resort Information
Resort of Interest
City
State
Address
Phone
Week
Unit
Lease/Expires
Date Purchased
Purchase Price
T/S Type
Fixed Week
Points
Float
Bedrooms
Bathrooms
Annual
Bi-Annual
Accupancy
Maintenance Fees $
Taxes $
Agent


PRICE RANGE OF INTEREST: (check one)
$1,000 to $5,000
$5,100 to $10,000
$10,001 to $15,000
$15,001 to $20,000
$20,001 and up

COMMENTS:


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