Rental Information Form

Please provide the following contact information:

*Name
Street address
City
State/Province	Select One Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip/Postal code
Country
Work Phone
*Home Phone
FAX
*E-mail

Resort Information

Indicate below the most important purchasing needs!
This information will allow our company to better assist your move.

Resort Name
City
State/Province	Select One Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Country
Affiliation	Select RCI II Both
Resort ID.
Resort Rating	Select Five Star Gold Crown RID Standard
Week	Select Floating 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52
Dates You Wish to Book	TO
Unit Size	Select Studio 1bdrm/1bath 1bdrm/2bath 2bdrm/2bath 3bdrm/3bath 2WeekLockout Other
Occupancy	Select 2 4 6 8 More
Price Range	TO
Additional Information

Once you have Submitted this form, you will receive a Personal Reply from 
Bobby R. Keen
Timeshare Resale Specialist