This offer has ended

First and Last name of Husband and spouse:  (Both required if married)

Address:

City/State/Zip:

Your Citizenship is in:

Contact Phone Number: (###-###-####)

Contact Fax Number: (###-###-####)

E-mail Address:  (either a fax number or email is REQUIRED)

Affiliate Number (who referred you to us or if you found us on your own, what web page did you find us on):

Which Westgate Resort would you like to stay at?

Date you would like to check in:
 2004

Date you would like to check out:
 2004

What type of room will you be needing?

YES, (we are married or living together) or (I am a single female), and have a gross income of 40,000 for the household:
Married couple

Single Female

Single Male

Ms/Mrs. Occupation is:

Mr. Occupation is:

A Upon check in, your credit card will be pre-authorized for a $50 deposit or a $200 cash deposit will be required.

Failure to attend the sales presentation at the scheduled date and time or failure to meet qualification at the time of your tour will result in an additional charge of $100 per night.

Date of Birth of one of the qualified tour participants:

Males Birthday
Females Birthday

Tour date:
 2004

Tour Arrival Time:

What gift would you prefer?
Select Your Tickets Below:

What additional tickets would you like in your package?

  1.     # Of Adults:       

  2.     # Of Adults:      

  3.     # Of Adults:      

** All above fields are required**
** Call our customer service lines toll free at 1-800-544-7646 to make your tour reservation over the phone!**

*** 4 Day Hoppers from the resort expire 14 days after first use