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Evening Phone:    *Email Address:   
  
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  please enter your home zip code:
*How did you hear about Ultimate Escapes?:   
*Please provide name of specific source:
(If source is a referral, please provide referrer's name)		   
  
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This voluntary information below helps us recommend which club is right for you:
       
Including long weekends, how many days do you and your family typically vacation each year?  
   14 - 21     22 - 28    29 - 35     36 - 42     43+    
 
Which accommodations do you typically use while on vacation?  
  Luxury hotel rooms or suites
Stay with friends and family
Rent private home or condo
 Own a vacation home
Vacation club or private residence club
Other: please specify 		 
 
What are the type of activities you most enjoy while vacationing? Select all that apply  
  Spa
Beach/Pool
Shopping
Golfing 		Snow Skiing
Visiting Attractions  theme parks, landmarks, etc.
Other: please specify 		 
 
Who do you usually travel with while vacationing?  
  Family
Spouse/Partner 		Extended Family
Friends 		 
 
How many people do you usually travel with while vacationing?  
  1 - 2
3 - 4 		5 - 6
6 or more 		 
 
What do you value most when you go on vacation? Select all that apply  
  Spacious Accommodations
5 - Star Service
Resort Amenities

 Private Club Privileges
Variety of Destinations and Experiences 		 




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