| First Name: |
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Last Name: |
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| Address: |
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| City: |
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| Home Phone: |
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Work Phone: |
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| Cell Phone: |
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Alt. Phone: |
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| email Address: |
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Choose resort
from lists: |
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Enter Resort
Name (not in list) |
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| City: |
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| State: |
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| Zip: |
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| Country: |
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| RCI: |
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II: |
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Fixed Week: |
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Flex
Points
Float |
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Red
White
Yellow
Blue
Green |
| Unit#: |
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Type of Unit
or # of points: |
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| Bedrooms: |
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Bathrooms: |
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| Occupancy: |
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| Deed: |
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| Lease: |
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Year Lease
Expires: |
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| Usage: |
Annual |
Bi-Annual Even |
Bi-Annual Odd |
| Maintenance
Fees & Taxes: |
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Paid to date: |
Yes
No |
| Asking Price: |
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Make Offer |
Neg |
| Rental |
Yes
No |
| Rental Price |
|
Make Offer |
Neg |
| Resort Information and
Amenities |
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